Provider Demographics
NPI:1013782259
Name:WRIGHT, ALEXANDER (LMHC)
Entity Type:Individual
Prefix:
First Name:ALEXANDER
Middle Name:
Last Name:WRIGHT
Suffix:
Gender:M
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4980 NW 41ST LN APT 5311
Mailing Address - Street 2:
Mailing Address - City:GAINESVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32606-4601
Mailing Address - Country:US
Mailing Address - Phone:423-280-5908
Mailing Address - Fax:
Practice Address - Street 1:4980 NW 41ST LN APT 5311
Practice Address - Street 2:
Practice Address - City:GAINESVILLE
Practice Address - State:FL
Practice Address - Zip Code:32606-4601
Practice Address - Country:US
Practice Address - Phone:423-280-5908
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-11-17
Last Update Date:2023-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH22906101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health