Wright Wellness Pllc | |
1398 W Mayfield Rd Ste 200 Arlington TX 76015-2352 | |
(682) 777-4325 | |
(877) 805-4720 |
Full Name | Wright Wellness Pllc |
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Speciality | Psychologist |
Location | 1398 W Mayfield Rd Ste 200, Arlington, Texas |
Authorized Official Name and Position | Lacey Wright (CLINICAL PSYCHOLOGIST) |
Authorized Official Contact | 6827774325 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Wright Wellness Pllc 1398 W Mayfield Rd Ste 200 Arlington TX 76015-2352 Ph: (682) 777-4325 | Wright Wellness Pllc 1398 W Mayfield Rd Ste 200 Arlington TX 76015-2352 Ph: (682) 777-4325 |
NPI Number | 1992106561 |
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Provider Enumeration Date | 09/15/2014 |
Last Update Date | 03/17/2018 |
Medicare PECOS PAC ID | 4082938410 |
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Medicare Enrollment ID | O20150113001704 |
Identifier | Type | State | Issuer |
---|---|---|---|
1992106561 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC0700X | Psychologist - Clinical | 36255 (Texas) | Primary |
Provider Name | Lacey Wright |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1700130861 PECOS PAC ID: 9436303500 Enrollment ID: I20130128000154 |
Provider Name | Laura Avila |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1104862077 PECOS PAC ID: 5799743886 Enrollment ID: I20150205000128 |
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