Provider Demographics
NPI:1871905836
Name:WRIGHT, BARRY JR (LPC - KS)
Entity type:Individual
Prefix:
First Name:BARRY
Middle Name:
Last Name:WRIGHT
Suffix:JR
Gender:M
Credentials:LPC - KS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:22214 D ST
Mailing Address - Street 2:FOUR COUNTY MENTAL HEALTH CENTER
Mailing Address - City:WINFIELD
Mailing Address - State:KS
Mailing Address - Zip Code:67156-7376
Mailing Address - Country:US
Mailing Address - Phone:620-221-9664
Mailing Address - Fax:
Practice Address - Street 1:22214 D ST
Practice Address - Street 2:FOUR COUNTY MENTAL HEALTH CENTER
Practice Address - City:WINFIELD
Practice Address - State:KS
Practice Address - Zip Code:67156-7376
Practice Address - Country:US
Practice Address - Phone:620-221-9664
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-05-27
Last Update Date:2016-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS2914101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional