Provider Demographics
NPI:1356155584
Name:WRIGHT, ADAM WAYNE
Entity type:Individual
Prefix:
First Name:ADAM
Middle Name:WAYNE
Last Name:WRIGHT
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:810 EVERGREEN FOREST DR
Mailing Address - Street 2:
Mailing Address - City:SAINT PETERS
Mailing Address - State:MO
Mailing Address - Zip Code:63376-4313
Mailing Address - Country:US
Mailing Address - Phone:636-233-0138
Mailing Address - Fax:
Practice Address - Street 1:810 EVERGREEN FOREST DR
Practice Address - Street 2:
Practice Address - City:SAINT PETERS
Practice Address - State:MO
Practice Address - Zip Code:63376-4313
Practice Address - Country:US
Practice Address - Phone:636-233-0138
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-02-06
Last Update Date:2025-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor