Provider Demographics
NPI:1710543251
Name:W. WRIGHT, LINDA ANN (LMHC)
Entity Type:Individual
Prefix:MS
First Name:LINDA
Middle Name:ANN
Last Name:W. WRIGHT
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:62 GROVE AVE
Mailing Address - Street 2:
Mailing Address - City:GLENS FALLS
Mailing Address - State:NY
Mailing Address - Zip Code:12801-2759
Mailing Address - Country:US
Mailing Address - Phone:518-681-0078
Mailing Address - Fax:
Practice Address - Street 1:62 GROVE AVE
Practice Address - Street 2:
Practice Address - City:GLENS FALLS
Practice Address - State:NY
Practice Address - Zip Code:12801-2759
Practice Address - Country:US
Practice Address - Phone:518-681-0078
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-05-09
Last Update Date:2019-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY003704101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty