Provider Demographics
NPI:1538647359
Name:WRIGHT, STEVE DOUGLAS (LCMHC)
Entity type:Individual
Prefix:
First Name:STEVE
Middle Name:DOUGLAS
Last Name:WRIGHT
Suffix:
Gender:M
Credentials:LCMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3685 TRABERT CT
Mailing Address - Street 2:
Mailing Address - City:GASTONIA
Mailing Address - State:NC
Mailing Address - Zip Code:28056-8904
Mailing Address - Country:US
Mailing Address - Phone:704-750-1443
Mailing Address - Fax:
Practice Address - Street 1:3685 TRABERT CT
Practice Address - Street 2:
Practice Address - City:GASTONIA
Practice Address - State:NC
Practice Address - Zip Code:28056-8904
Practice Address - Country:US
Practice Address - Phone:704-750-1443
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-08-02
Last Update Date:2025-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC14199101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty