Provider Demographics
NPI:1770107625
Name:WRIGHT, HEATHER (SOCIAL WORKER)
Entity type:Individual
Prefix:
First Name:HEATHER
Middle Name:
Last Name:WRIGHT
Suffix:
Gender:F
Credentials:SOCIAL WORKER
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:107 ASHFORD DR APT 1811
Mailing Address - Street 2:
Mailing Address - City:WEST MONROE
Mailing Address - State:LA
Mailing Address - Zip Code:71291-7863
Mailing Address - Country:US
Mailing Address - Phone:662-401-4117
Mailing Address - Fax:
Practice Address - Street 1:107 ASHFORD DR APT 1811
Practice Address - Street 2:
Practice Address - City:WEST MONROE
Practice Address - State:LA
Practice Address - Zip Code:71291-7863
Practice Address - Country:US
Practice Address - Phone:662-401-4117
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-06-05
Last Update Date:2020-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker