Provider Demographics
NPI:1427195098
Name:WRIGHT, REKETTA CHARMETT
Entity Type:Individual
Prefix:MRS
First Name:REKETTA
Middle Name:CHARMETT
Last Name:WRIGHT
Suffix:
Gender:F
Credentials:
Other - Prefix:MS
Other - First Name:REKETTA
Other - Middle Name:
Other - Last Name:BROWN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:2311 W CONE BLVD STE 223
Mailing Address - Street 2:
Mailing Address - City:GREENSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27408-4067
Mailing Address - Country:US
Mailing Address - Phone:336-542-2884
Mailing Address - Fax:336-542-2885
Practice Address - Street 1:204 MUIRS CHAPEL RD
Practice Address - Street 2:STE 305
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27410-6173
Practice Address - Country:US
Practice Address - Phone:336-816-2389
Practice Address - Fax:336-542-2885
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-31
Last Update Date:2023-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101Y00000X
NC7646101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101Y00000XBehavioral Health & Social Service ProvidersCounselor