Provider Demographics
NPI:1184855512
Name:WRIGHT, LINDA CAROL (MS, LPC, NCC, MAC)
Entity Type:Individual
Prefix:
First Name:LINDA
Middle Name:CAROL
Last Name:WRIGHT
Suffix:
Gender:F
Credentials:MS, LPC, NCC, MAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1264
Mailing Address - Street 2:
Mailing Address - City:SNELLVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30078-1264
Mailing Address - Country:US
Mailing Address - Phone:404-587-6333
Mailing Address - Fax:
Practice Address - Street 1:3361 SOUTHAMPTON WAY
Practice Address - Street 2:
Practice Address - City:SNELLVILLE
Practice Address - State:GA
Practice Address - Zip Code:30039-4669
Practice Address - Country:US
Practice Address - Phone:404-587-6333
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-08-03
Last Update Date:2009-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GALPC 3887101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional