Provider Demographics
NPI:1497512438
Name:WRIGHT, KIMBERLY HABINK (LMHC, NCC)
Entity type:Individual
Prefix:
First Name:KIMBERLY
Middle Name:HABINK
Last Name:WRIGHT
Suffix:
Gender:F
Credentials:LMHC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1003 OLD GREENWICH PLNS RD
Mailing Address - Street 2:
Mailing Address - City:HARDWICK
Mailing Address - State:MA
Mailing Address - Zip Code:01082-9047
Mailing Address - Country:US
Mailing Address - Phone:978-621-5424
Mailing Address - Fax:
Practice Address - Street 1:242 OLD PETERSHAM RD
Practice Address - Street 2:
Practice Address - City:HARDWICK
Practice Address - State:MA
Practice Address - Zip Code:01037-9200
Practice Address - Country:US
Practice Address - Phone:978-621-5424
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-03-05
Last Update Date:2024-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MALMHC10000420101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health