Provider Demographics
NPI:1912716549
Name:WRIGHT, ASHLEY PHYLLIS
Entity type:Individual
Prefix:
First Name:ASHLEY
Middle Name:PHYLLIS
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:PO BOX 1752
Mailing Address - Street 2:
Mailing Address - City:GOODLETTSVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37070-1752
Mailing Address - Country:US
Mailing Address - Phone:615-879-0488
Mailing Address - Fax:
Practice Address - Street 1:105 BLUEGRASS COMMONS BLVD STE D
Practice Address - Street 2:
Practice Address - City:HENDERSONVILLE
Practice Address - State:TN
Practice Address - Zip Code:37075-2772
Practice Address - Country:US
Practice Address - Phone:615-879-0488
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-01-07
Last Update Date:2025-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health