Provider Demographics
NPI:1538502885
Name:PAMELA M. WRIGHT, WRIGHT CHOICES
Entity Type:Organization
Organization Name:PAMELA M. WRIGHT, WRIGHT CHOICES
Other - Org Name:WRIGHT CHOICES FOR POSITIVE CHANGE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:PAMELA
Authorized Official - Middle Name:M
Authorized Official - Last Name:WRIGHT
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:501-593-6997
Mailing Address - Street 1:237 KIKE ACRES ROAD
Mailing Address - Street 2:
Mailing Address - City:SEARCY
Mailing Address - State:AR
Mailing Address - Zip Code:72143-9363
Mailing Address - Country:US
Mailing Address - Phone:501-593-6997
Mailing Address - Fax:866-324-3931
Practice Address - Street 1:237 KI KE ACRES RD
Practice Address - Street 2:
Practice Address - City:SEARCY
Practice Address - State:AR
Practice Address - Zip Code:72143-9363
Practice Address - Country:US
Practice Address - Phone:501-593-6997
Practice Address - Fax:866-324-3931
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-04-16
Last Update Date:2013-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR59401041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
1922238559OtherINDIVIDUAL NPI
AR5940 - COtherLICENSE LCSW