Provider Demographics
NPI:1225542178
Name:WRIGHT WAY BEHAVIORAL HEALTH CENTER
Entity Type:Organization
Organization Name:WRIGHT WAY BEHAVIORAL HEALTH CENTER
Other - Org Name:WRIGHT WAY TWO
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:SERITA
Authorized Official - Middle Name:RACHELLE
Authorized Official - Last Name:WRIGHT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:318-375-2780
Mailing Address - Street 1:220 W LOUISIANA AVE
Mailing Address - Street 2:
Mailing Address - City:VIVIAN
Mailing Address - State:LA
Mailing Address - Zip Code:71082-2820
Mailing Address - Country:US
Mailing Address - Phone:318-375-2780
Mailing Address - Fax:318-375-2781
Practice Address - Street 1:220 W LOUISIANA AVE
Practice Address - Street 2:
Practice Address - City:VIVIAN
Practice Address - State:LA
Practice Address - Zip Code:71082-2820
Practice Address - Country:US
Practice Address - Phone:318-375-2780
Practice Address - Fax:318-375-2781
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-11-29
Last Update Date:2020-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health