Provider Demographics
NPI:1336594035
Name:TERRI J WRIGHT, LLC
Entity Type:Organization
Organization Name:TERRI J WRIGHT, LLC
Other - Org Name:WRIGHT COUNSELING GROUP
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TERRI
Authorized Official - Middle Name:J
Authorized Official - Last Name:WRIGHT
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:662-202-7332
Mailing Address - Street 1:6 COUNTY ROAD 236
Mailing Address - Street 2:
Mailing Address - City:OXFORD
Mailing Address - State:MS
Mailing Address - Zip Code:38655-9257
Mailing Address - Country:US
Mailing Address - Phone:662-202-7332
Mailing Address - Fax:
Practice Address - Street 1:6 COUNTY ROAD 236
Practice Address - Street 2:
Practice Address - City:OXFORD
Practice Address - State:MS
Practice Address - Zip Code:38655-9257
Practice Address - Country:US
Practice Address - Phone:662-202-7332
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-05-01
Last Update Date:2016-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS1187101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty