Provider Demographics
NPI:1598030868
Name:WRIGHT, TECORA A (LISW-CP)
Entity type:Individual
Prefix:MRS
First Name:TECORA
Middle Name:A
Last Name:WRIGHT
Suffix:
Gender:F
Credentials:LISW-CP
Other - Prefix:
Other - First Name:TECORA
Other - Middle Name:ALEXANDREA
Other - Last Name:WILLIAMS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LISW-CP
Mailing Address - Street 1:6130 WOODSIDE EXECUTIVE CT
Mailing Address - Street 2:
Mailing Address - City:AIKEN
Mailing Address - State:SC
Mailing Address - Zip Code:29803-3820
Mailing Address - Country:US
Mailing Address - Phone:803-226-0190
Mailing Address - Fax:803-226-0258
Practice Address - Street 1:6130 WOODSIDE EXECUTIVE CT
Practice Address - Street 2:
Practice Address - City:AIKEN
Practice Address - State:SC
Practice Address - Zip Code:29803-3820
Practice Address - Country:US
Practice Address - Phone:803-226-0190
Practice Address - Fax:803-226-0258
Is Sole Proprietor?:No
Enumeration Date:2012-03-20
Last Update Date:2024-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YM0800X
SC103101041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical