Provider Demographics
NPI:1881851988
Name:BRAGG, BETH WRIGHT (MA, LPC, NCC, ALPS)
Entity Type:Individual
Prefix:
First Name:BETH
Middle Name:WRIGHT
Last Name:BRAGG
Suffix:
Gender:F
Credentials:MA, LPC, NCC, ALPS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:40 SKINNER LN STE 2
Mailing Address - Street 2:
Mailing Address - City:ELKINS
Mailing Address - State:WV
Mailing Address - Zip Code:26241-1828
Mailing Address - Country:US
Mailing Address - Phone:681-298-5027
Mailing Address - Fax:888-398-9330
Practice Address - Street 1:40 SKINNER LN STE 2
Practice Address - Street 2:
Practice Address - City:ELKINS
Practice Address - State:WV
Practice Address - Zip Code:26241-1828
Practice Address - Country:US
Practice Address - Phone:681-298-5027
Practice Address - Fax:888-398-9330
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-18
Last Update Date:2019-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV1327101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional