Provider Demographics
NPI:1871777599
Name:WRIGHT, CHRISANNA G (LMHC,RD/LD)
Entity type:Individual
Prefix:MS
First Name:CHRISANNA
Middle Name:G
Last Name:WRIGHT
Suffix:
Gender:F
Credentials:LMHC,RD/LD
Other - Prefix:MS
Other - First Name:CHRISANNA
Other - Middle Name:G
Other - Last Name:HARRINGTON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RD LD LMHC
Mailing Address - Street 1:PO BOX 511283
Mailing Address - Street 2:
Mailing Address - City:PUNTA GORDA
Mailing Address - State:FL
Mailing Address - Zip Code:33951-1283
Mailing Address - Country:US
Mailing Address - Phone:941-787-3525
Mailing Address - Fax:941-257-5550
Practice Address - Street 1:6804 PORTO FINO CIR
Practice Address - Street 2:
Practice Address - City:FORT MYERS
Practice Address - State:FL
Practice Address - Zip Code:33912-7139
Practice Address - Country:US
Practice Address - Phone:239-332-4700
Practice Address - Fax:941-257-5550
Is Sole Proprietor?:No
Enumeration Date:2007-12-18
Last Update Date:2022-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLND2695133VN1006X
FL9462101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No133VN1006XDietary & Nutritional Service ProvidersDietitian, RegisteredNutrition, Metabolic
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLZ159POtherBCBSFL
FLZ159POtherBCBSFL