Provider Demographics
NPI:1508950536
Name:JANET B WRIGHT, MA, MSW, LPC, INC.
Entity Type:Organization
Organization Name:JANET B WRIGHT, MA, MSW, LPC, INC.
Other - Org Name:JANET B WRIGHT, LCSW, INC.
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:JANET
Authorized Official - Middle Name:B
Authorized Official - Last Name:WRIGHT
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:970-224-2207
Mailing Address - Street 1:1015 W HORSETOOTH RD
Mailing Address - Street 2:SUITE 202
Mailing Address - City:FORT COLLINS
Mailing Address - State:CO
Mailing Address - Zip Code:80526-5978
Mailing Address - Country:US
Mailing Address - Phone:970-224-2207
Mailing Address - Fax:970-484-9454
Practice Address - Street 1:1015 W HORSETOOTH RD
Practice Address - Street 2:STE 202
Practice Address - City:FORT COLLINS
Practice Address - State:CO
Practice Address - Zip Code:80526-5978
Practice Address - Country:US
Practice Address - Phone:970-224-2207
Practice Address - Fax:970-484-9454
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-03
Last Update Date:2009-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO991960261QM0850X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
COC806350Medicare PIN