Provider Demographics
NPI:1184096422
Name:WRIGHT, CHARLOTTE AMBER (LMFT)
Entity type:Individual
Prefix:MRS
First Name:CHARLOTTE
Middle Name:AMBER
Last Name:WRIGHT
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:MISS
Other - First Name:CHARLOTTE
Other - Middle Name:AMBER
Other - Last Name:FLETCHER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMFT
Mailing Address - Street 1:301 HUNTINGTON CT
Mailing Address - Street 2:
Mailing Address - City:HANAHAN
Mailing Address - State:SC
Mailing Address - Zip Code:29410-8214
Mailing Address - Country:US
Mailing Address - Phone:843-605-1482
Mailing Address - Fax:
Practice Address - Street 1:103B HARTH PL
Practice Address - Street 2:
Practice Address - City:SUMMERVILLE
Practice Address - State:SC
Practice Address - Zip Code:29485-8107
Practice Address - Country:US
Practice Address - Phone:843-879-3520
Practice Address - Fax:843-879-2174
Is Sole Proprietor?:Yes
Enumeration Date:2015-10-27
Last Update Date:2023-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC7045106H00000X
NC1943106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Multi-Specialty