Provider Demographics
NPI:1790036390
Name:WRIGHT, SIMONE A (LPC)
Entity Type:Individual
Prefix:MISS
First Name:SIMONE
Middle Name:A
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 1:786 KING GEORGE RD, STE 1
Mailing Address - Street 2:
Mailing Address - City:FORDS
Mailing Address - State:NJ
Mailing Address - Zip Code:08863-1981
Mailing Address - Country:US
Mailing Address - Phone:732-902-9154
Mailing Address - Fax:732-771-9020
Practice Address - Street 1:786 KING GEORGE RD, STE 1
Practice Address - Street 2:
Practice Address - City:FORDS
Practice Address - State:NJ
Practice Address - Zip Code:08863-0886
Practice Address - Country:US
Practice Address - Phone:732-902-9154
Practice Address - Fax:732-771-9020
Is Sole Proprietor?:No
Enumeration Date:2012-09-24
Last Update Date:2023-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37PC00450100101YM0800X, 106H00000X, 101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist