Provider Demographics
NPI:1619775780
Name:WRIGHT, LAURA MARIE (MA)
Entity type:Individual
Prefix:
First Name:LAURA
Middle Name:MARIE
Last Name:WRIGHT
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17322 BOX CANYON DR
Mailing Address - Street 2:
Mailing Address - City:HOCKLEY
Mailing Address - State:TX
Mailing Address - Zip Code:77447-9246
Mailing Address - Country:US
Mailing Address - Phone:832-818-2335
Mailing Address - Fax:
Practice Address - Street 1:17322 BOX CANYON DR
Practice Address - Street 2:
Practice Address - City:HOCKLEY
Practice Address - State:TX
Practice Address - Zip Code:77447-9246
Practice Address - Country:US
Practice Address - Phone:832-818-2335
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-05
Last Update Date:2025-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX87873101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health