Provider Demographics
NPI:1447072384
Name:WRIGHT, BRITNI LAUREN LUTHER
Entity type:Individual
Prefix:
First Name:BRITNI
Middle Name:LAUREN LUTHER
Last Name:WRIGHT
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4110 KIOWA DR
Mailing Address - Street 2:
Mailing Address - City:LARAMIE
Mailing Address - State:WY
Mailing Address - Zip Code:82072-6913
Mailing Address - Country:US
Mailing Address - Phone:307-851-7367
Mailing Address - Fax:
Practice Address - Street 1:2020 E GRAND AVE STE 400
Practice Address - Street 2:
Practice Address - City:LARAMIE
Practice Address - State:WY
Practice Address - Zip Code:82070-4388
Practice Address - Country:US
Practice Address - Phone:307-221-3707
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-10-31
Last Update Date:2024-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WYPPC-1508101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor