Russell, Betty Wright

Russell, Betty Wright is an individual health care provider with primary practice located at 363 Williamson Rd Suite 102, Mooresville NC 28117-5964. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Russell, Betty Wright can be contacted via phone (704) 664-7148.

Contact Information

Primary practice address
363 Williamson Rd Suite 102 Mooresville NC 28117-5964
Phone: (704) 664-7148
Fax: (704) 664-3086
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X C000914 North Carolina

Profile Details

NPI number 1912983685
LBN Legal business name Russell, Betty Wright
Credentials LCSW, LMFT, PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 15th, 2005
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1912983685 NPPES
North Carolina Other 74043 BLUECROSS BLUESHIELD OF N

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