Provider Demographics
NPI:1689882979
Name:WRIGHT, CAROL BETH (LMHP, CPC, NCC)
Entity Type:Individual
Prefix:MRS
First Name:CAROL
Middle Name:BETH
Last Name:WRIGHT
Suffix:
Gender:F
Credentials:LMHP, CPC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16442 HIGHWAY 385
Mailing Address - Street 2:
Mailing Address - City:CHADRON
Mailing Address - State:NE
Mailing Address - Zip Code:69337-7362
Mailing Address - Country:US
Mailing Address - Phone:308-432-5105
Mailing Address - Fax:
Practice Address - Street 1:224 MAIN ST
Practice Address - Street 2:
Practice Address - City:CHADRON
Practice Address - State:NE
Practice Address - Zip Code:69337-2585
Practice Address - Country:US
Practice Address - Phone:308-432-3050
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE174101YM0800X
NE741101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Not Answered101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE85381OtherBLUE CROSS BLUE SHIELD