Organization Name: | WRIGHTWAY COUNSELING SERVICES, LLC |
NPI Number: | 1063813863 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ANGIE D WRIGHT (LICENSED PROFESSIONAL COUNSELOR) |
Mailing Address: | 720 N Commerce St Ste 634 Ardmore |
State: | OK US |
Postal Code: | 734013915 |
Phone Number: | 5807954844 |
Fax Number: | 5752676243 |
NPI Enumeration Date: | 09/11/2014 |
NPI Last Update Date: | 09/11/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 5433 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OK |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |