Provider Demographics
NPI:1518548833
Name:WRIGHT, MYNIQUE J (LMHC-I)
Entity Type:Individual
Prefix:MS
First Name:MYNIQUE
Middle Name:J
Last Name:WRIGHT
Suffix:
Gender:F
Credentials:LMHC-I
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:302 5TH AVE STE 811
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10001-3604
Mailing Address - Country:US
Mailing Address - Phone:347-450-8489
Mailing Address - Fax:
Practice Address - Street 1:302 5TH AVE STE 811
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10001-3604
Practice Address - Country:US
Practice Address - Phone:347-450-8489
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-04-19
Last Update Date:2023-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health