Provider Demographics
NPI:1740910462
Name:SARA WRIGHT, P.S.C.
Entity type:Organization
Organization Name:SARA WRIGHT, P.S.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT/THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:SARA
Authorized Official - Middle Name:JELANE JUDD
Authorized Official - Last Name:WRIGHT
Authorized Official - Suffix:
Authorized Official - Credentials:MED, LPCC, PMH-C
Authorized Official - Phone:270-283-9094
Mailing Address - Street 1:181 HIGHWAY 88
Mailing Address - Street 2:
Mailing Address - City:GREENSBURG
Mailing Address - State:KY
Mailing Address - Zip Code:42743-9423
Mailing Address - Country:US
Mailing Address - Phone:270-283-9094
Mailing Address - Fax:
Practice Address - Street 1:181 HIGHWAY 88
Practice Address - Street 2:
Practice Address - City:GREENSBURG
Practice Address - State:KY
Practice Address - Zip Code:42743-9423
Practice Address - Country:US
Practice Address - Phone:270-283-9094
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-06-15
Last Update Date:2022-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty