Provider Demographics
NPI:1881978500
Name:WRIGHT, CHERYL (LPC, LCDC)
Entity type:Individual
Prefix:
First Name:CHERYL
Middle Name:
Last Name:WRIGHT
Suffix:
Gender:F
Credentials:LPC, LCDC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8607 WURZBACH RD STE V104
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78240-1281
Mailing Address - Country:US
Mailing Address - Phone:210-697-3300
Mailing Address - Fax:
Practice Address - Street 1:8607 WURZBACH RD BLDG P-100
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78240-1281
Practice Address - Country:US
Practice Address - Phone:210-697-3300
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-09-29
Last Update Date:2015-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX11491101YA0400X
TX68338101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)