Provider Demographics
NPI:1184216640
Name:WRIGHT, ELIZABETH M (LMFT, LPC)
Entity Type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:M
Last Name:WRIGHT
Suffix:
Gender:F
Credentials:LMFT, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2854 MEADOW GROVE WAY SE
Mailing Address - Street 2:
Mailing Address - City:MARIETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30067-5656
Mailing Address - Country:US
Mailing Address - Phone:404-293-9016
Mailing Address - Fax:
Practice Address - Street 1:115 MARTIN LUTHER KING JR DR SW
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30303-3536
Practice Address - Country:US
Practice Address - Phone:404-293-9016
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-02-06
Last Update Date:2021-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAMFT001374106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Multi-Specialty