Provider Demographics
NPI:1588801369
Name:WRIGHT, SARAH LUCY (LPCC)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:LUCY
Last Name:WRIGHT
Suffix:
Gender:F
Credentials:LPCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1220 MASTER ST STE 6
Mailing Address - Street 2:
Mailing Address - City:CORBIN
Mailing Address - State:KY
Mailing Address - Zip Code:40701-2517
Mailing Address - Country:US
Mailing Address - Phone:606-404-5104
Mailing Address - Fax:606-404-5105
Practice Address - Street 1:1220 MASTER ST STE 6
Practice Address - Street 2:
Practice Address - City:CORBIN
Practice Address - State:KY
Practice Address - Zip Code:40701-2517
Practice Address - Country:US
Practice Address - Phone:606-404-5104
Practice Address - Fax:606-404-5105
Is Sole Proprietor?:No
Enumeration Date:2009-01-15
Last Update Date:2023-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YA0400X
KY149001101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY7100332270Medicaid