Provider Demographics
NPI:1518714948
Name:WRIGHT-TRIMBOLI, VICKI (LPC, CRC)
Entity type:Individual
Prefix:
First Name:VICKI
Middle Name:
Last Name:WRIGHT-TRIMBOLI
Suffix:
Gender:F
Credentials:LPC, CRC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14642 RICE DR
Mailing Address - Street 2:
Mailing Address - City:STERLING HTS
Mailing Address - State:MI
Mailing Address - Zip Code:48313-2983
Mailing Address - Country:US
Mailing Address - Phone:586-362-6188
Mailing Address - Fax:
Practice Address - Street 1:14642 RICE DR
Practice Address - Street 2:
Practice Address - City:STERLING HTS
Practice Address - State:MI
Practice Address - Zip Code:48313-2983
Practice Address - Country:US
Practice Address - Phone:586-362-6188
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-05-03
Last Update Date:2024-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6401008826101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional