Wright, Beverly Jeanne

Wright, Beverly Jeanne is an sole proprietor health care provider with primary practice located at 2014 Old Evergreen Pkwy , Indian Trail NC 28079-8873. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Wright, Beverly Jeanne can be contacted via phone (631) 423-6809.

Contact Information

Primary practice address
2014 Old Evergreen Pkwy Indian Trail NC 28079-8873
Fax: (631) 423-8446
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X R029334-1 New York
Behavioral Health & Social Service Providers / Clinical 1041C0700X 029334.1 New York

Profile Details

NPI number 1285742775
LBN Legal business name Wright, Beverly Jeanne
Credentials LCSW, CASAC, CEAP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 26th, 2006
Last updated May 5th, 2022 - about 2 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 1285742775 NPPES
New York Other 092031 VALUE OPTIONS
New York Other 0055762/002 VALUE OPTIONS
New York Other 107927 VALUE OPTIONS

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