1992704175 NPI number — MR. JOEL D WRIGHT M.A., L.M.H.C.

Table of content: MR. JOEL D WRIGHT M.A., L.M.H.C. (NPI 1992704175)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1992704175 NPI number — MR. JOEL D WRIGHT M.A., L.M.H.C.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
WRIGHT
Provider First Name:
JOEL
Provider Middle Name:
D
Provider Name Prefix Text:
MR.
Provider Name Suffix Text:
Provider Credential Text:
M.A., L.M.H.C.
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1992704175
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
08/31/2012
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 383
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
ARLINGTON
Provider Business Mailing Address State Name:
WA
Provider Business Mailing Address Postal Code:
98223-0383
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
360-474-6262
Provider Business Mailing Address Fax Number:
866-408-8860

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
135 N OLYMPIC AVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
ARLINGTON
Provider Business Practice Location Address State Name:
WA
Provider Business Practice Location Address Postal Code:
98223-1335
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
360-474-6262
Provider Business Practice Location Address Fax Number:
866-408-8860
Provider Enumeration Date:
07/19/2005

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 101YM0800X , with the licence number:  LH00008912 , registered in the state of WA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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