Provider Demographics
NPI:1871314641
Name:AMANDA B WRIGHT COUNSELING AND CONSULTING LLC
Entity type:Organization
Organization Name:AMANDA B WRIGHT COUNSELING AND CONSULTING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:AMANDA
Authorized Official - Middle Name:B
Authorized Official - Last Name:WRIGHT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:617-515-0546
Mailing Address - Street 1:40 CENTER ST APT 3
Mailing Address - Street 2:
Mailing Address - City:NANTUCKET
Mailing Address - State:MA
Mailing Address - Zip Code:02554-3761
Mailing Address - Country:US
Mailing Address - Phone:617-515-0546
Mailing Address - Fax:
Practice Address - Street 1:40 CENTER ST APT 3
Practice Address - Street 2:
Practice Address - City:NANTUCKET
Practice Address - State:MA
Practice Address - Zip Code:02554-3761
Practice Address - Country:US
Practice Address - Phone:617-515-0546
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-10-23
Last Update Date:2024-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)