Provider Demographics
NPI:1598058661
Name:WRIGHT-BLAKE, VENITA WILEY (LMFT)
Entity type:Individual
Prefix:
First Name:VENITA
Middle Name:WILEY
Last Name:WRIGHT-BLAKE
Suffix:
Gender:
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1106 W VERNON AVE
Mailing Address - Street 2:
Mailing Address - City:KINSTON
Mailing Address - State:NC
Mailing Address - Zip Code:28501-3616
Mailing Address - Country:US
Mailing Address - Phone:252-775-8378
Mailing Address - Fax:252-999-8638
Practice Address - Street 1:1106 W VERNON AVE
Practice Address - Street 2:
Practice Address - City:KINSTON
Practice Address - State:NC
Practice Address - Zip Code:28501-3616
Practice Address - Country:US
Practice Address - Phone:252-775-8378
Practice Address - Fax:252-999-8638
Is Sole Proprietor?:Yes
Enumeration Date:2011-05-24
Last Update Date:2025-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist