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
Phone: (631) 423-6809
Fax: (631) 423-8446
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
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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