Provider Demographics
NPI:1144871328
Name:WRIGHT, CHELSEA (MA, LMHC, NCC)
Entity type:Individual
Prefix:
First Name:CHELSEA
Middle Name:
Last Name:WRIGHT
Suffix:
Gender:F
Credentials:MA, LMHC, NCC
Other - Prefix:
Other - First Name:CHELSEA
Other - Middle Name:
Other - Last Name:KIMBRELL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:5601 TAYLOR RANCH RD NW APT 121
Mailing Address - Street 2:
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87120-2663
Mailing Address - Country:US
Mailing Address - Phone:505-331-4277
Mailing Address - Fax:
Practice Address - Street 1:1803 CARLISLE BLVD NE
Practice Address - Street 2:
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87110-4905
Practice Address - Country:US
Practice Address - Phone:505-842-9911
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-09-27
Last Update Date:2020-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health