Provider Demographics
NPI:1104298124
Name:WRIGHT, ANITA B (LCMHC, LPC, NCC)
Entity type:Individual
Prefix:MS
First Name:ANITA
Middle Name:B
Last Name:WRIGHT
Suffix:
Gender:F
Credentials:LCMHC, LPC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:102 REGENCY BLVD STE B10-11
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27834-4666
Mailing Address - Country:US
Mailing Address - Phone:252-360-0514
Mailing Address - Fax:252-689-1248
Practice Address - Street 1:102 REGENCY BLVD STE B10-11
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:NC
Practice Address - Zip Code:27834-4666
Practice Address - Country:US
Practice Address - Phone:252-360-0514
Practice Address - Fax:252-689-1248
Is Sole Proprietor?:No
Enumeration Date:2015-10-29
Last Update Date:2023-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC11624101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health