Provider Demographics
NPI:1396577862
Name:WRIGHT, DAVID ANTHONY (MBA, MHSA, MM)
Entity type:Individual
Prefix:
First Name:DAVID
Middle Name:ANTHONY
Last Name:WRIGHT
Suffix:
Gender:M
Credentials:MBA, MHSA, MM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:113 ASHBURY DR
Mailing Address - Street 2:
Mailing Address - City:VILLA RICA
Mailing Address - State:GA
Mailing Address - Zip Code:30180-2541
Mailing Address - Country:US
Mailing Address - Phone:207-749-0236
Mailing Address - Fax:
Practice Address - Street 1:1010 HUNTCLIFF STE 1270
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30350-1809
Practice Address - Country:US
Practice Address - Phone:404-341-6360
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-08-14
Last Update Date:2024-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174H00000XOther Service ProvidersHealth Educator
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No172V00000XOther Service ProvidersCommunity Health Worker
No174V00000XOther Service ProvidersClinical Ethicist
No251V00000XAgenciesVoluntary or Charitable