Provider Demographics
NPI:1588615256
Name:WRIGHT, KAROL WADE (LPC)
Entity Type:Individual
Prefix:
First Name:KAROL
Middle Name:WADE
Last Name:WRIGHT
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:200 N 13TH ST STE 205
Mailing Address - Street 2:
Mailing Address - City:CORSICANA
Mailing Address - State:TX
Mailing Address - Zip Code:75110-4680
Mailing Address - Country:US
Mailing Address - Phone:903-872-5048
Mailing Address - Fax:903-875-0572
Practice Address - Street 1:200 N 13TH ST STE 205
Practice Address - Street 2:
Practice Address - City:CORSICANA
Practice Address - State:TX
Practice Address - Zip Code:75110-4680
Practice Address - Country:US
Practice Address - Phone:903-872-5048
Practice Address - Fax:903-875-0572
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-15
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX15483101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX028352501Medicaid