Provider Demographics
NPI:1912240524
Name:WRIGHT, SILAS BENNETT IV (MS, NCC, LPC)
Entity type:Individual
Prefix:MR
First Name:SILAS
Middle Name:BENNETT
Last Name:WRIGHT
Suffix:IV
Gender:M
Credentials:MS, NCC, LPC
Other - Prefix:MR
Other - First Name:BEN
Other - Middle Name:
Other - Last Name:WRIGHT
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MS, NCC, LPC
Mailing Address - Street 1:PO BOX 3451
Mailing Address - Street 2:
Mailing Address - City:DURANGO
Mailing Address - State:CO
Mailing Address - Zip Code:81302-3451
Mailing Address - Country:US
Mailing Address - Phone:720-441-4552
Mailing Address - Fax:855-662-9131
Practice Address - Street 1:2257 MAIN AVE
Practice Address - Street 2:
Practice Address - City:DURANGO
Practice Address - State:CO
Practice Address - Zip Code:81301-4660
Practice Address - Country:US
Practice Address - Phone:720-441-4552
Practice Address - Fax:855-662-9131
Is Sole Proprietor?:No
Enumeration Date:2013-04-02
Last Update Date:2025-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORC3732101YM0800X
COLPC.0017217101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health