Provider Demographics
NPI:1538647359
Name:WRIGHT, STEVE DOUGLAS (LPCA)
Entity Type:Individual
Prefix:
First Name:STEVE
Middle Name:DOUGLAS
Last Name:WRIGHT
Suffix:
Gender:M
Credentials:LPCA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:809 N LAFAYETTE ST STE A
Mailing Address - Street 2:
Mailing Address - City:SHELBY
Mailing Address - State:NC
Mailing Address - Zip Code:28150-3886
Mailing Address - Country:US
Mailing Address - Phone:704-284-0554
Mailing Address - Fax:
Practice Address - Street 1:809 N LAFAYETTE ST STE A
Practice Address - Street 2:
Practice Address - City:SHELBY
Practice Address - State:NC
Practice Address - Zip Code:28150-3886
Practice Address - Country:US
Practice Address - Phone:794-284-0554
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-08-02
Last Update Date:2018-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCA14199101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty