Provider Demographics
NPI:1558098020
Name:WRIGHT, AMY J (LCPC)
Entity Type:Individual
Prefix:
First Name:AMY
Middle Name:J
Last Name:WRIGHT
Suffix:
Gender:F
Credentials:LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:267 UPPER SPRINGS ROAD
Mailing Address - Street 2:
Mailing Address - City:SALISBURY
Mailing Address - State:PA
Mailing Address - Zip Code:15558
Mailing Address - Country:US
Mailing Address - Phone:814-289-9935
Mailing Address - Fax:
Practice Address - Street 1:12584 NATIONAL PIKE
Practice Address - Street 2:
Practice Address - City:GRANTSVILLE
Practice Address - State:MD
Practice Address - Zip Code:21536
Practice Address - Country:US
Practice Address - Phone:301-895-8047
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-08-04
Last Update Date:2023-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDLC12947101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional