Provider Demographics
NPI:1306199567
Name:WRIGHT, MONTENEY
Entity Type:Individual
Prefix:
First Name:MONTENEY
Middle Name:
Last Name:WRIGHT
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4990 HASTINGS TER
Mailing Address - Street 2:
Mailing Address - City:ALPHARETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30005-1632
Mailing Address - Country:US
Mailing Address - Phone:404-632-3550
Mailing Address - Fax:
Practice Address - Street 1:7840 CONTEE RD
Practice Address - Street 2:STE 149
Practice Address - City:LAUREL
Practice Address - State:MD
Practice Address - Zip Code:20707-9227
Practice Address - Country:US
Practice Address - Phone:443-481-7861
Practice Address - Fax:240-456-0549
Is Sole Proprietor?:No
Enumeration Date:2012-10-24
Last Update Date:2013-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No225C00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRehabilitation Counselor