Provider Demographics
NPI:1285101113
Name:WRIGHT, CHASITY S
Entity type:Individual
Prefix:
First Name:CHASITY
Middle Name:S
Last Name:WRIGHT
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10151 N REYNARD RD
Mailing Address - Street 2:
Mailing Address - City:ALBANY
Mailing Address - State:IN
Mailing Address - Zip Code:47320-9107
Mailing Address - Country:US
Mailing Address - Phone:765-283-4329
Mailing Address - Fax:
Practice Address - Street 1:10151 N REYNARD RD
Practice Address - Street 2:
Practice Address - City:ALBANY
Practice Address - State:IN
Practice Address - Zip Code:47320-9107
Practice Address - Country:US
Practice Address - Phone:765-283-4329
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-10-29
Last Update Date:2018-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health