Basic Information
Provider Information
NPI: 1649511742
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: WRIGHT
FirstName: NORA
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: LPCC
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: PO BOX 614
Address2: 3999 FT. CAMPBELL BLVD.
City: HOPKINSVILLE
State: KY
PostalCode: 42241
CountryCode: US
TelephoneNumber: 2708862205
FaxNumber: 2708860392
Practice Location
Address1: 506 HOPKINSVILLE ST
Address2:  
City: GREENVILLE
State: KY
PostalCode: 423451104
CountryCode: US
TelephoneNumber: 2703385211
FaxNumber:  
Other Information
ProviderEnumerationDate: 03/14/2013
LastUpdateDate: 05/15/2013
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
101YP2500XKY-0898KYY Behavioral Health & Social Service ProvidersCounselorProfessional

No ID Information.


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