Provider Demographics
NPI:1861216574
Name:WRIGHT, SHYKEILA
Entity type:Individual
Prefix:
First Name:SHYKEILA
Middle Name:
Last Name:WRIGHT
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3701 ASHBROOK DR NW APT 222
Mailing Address - Street 2:
Mailing Address - City:WILSON
Mailing Address - State:NC
Mailing Address - Zip Code:27896-7625
Mailing Address - Country:US
Mailing Address - Phone:919-333-2619
Mailing Address - Fax:
Practice Address - Street 1:3701 ASHBROOK DR NW APT 222
Practice Address - Street 2:
Practice Address - City:WILSON
Practice Address - State:NC
Practice Address - Zip Code:27896-7625
Practice Address - Country:US
Practice Address - Phone:919-333-2619
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-11-09
Last Update Date:2024-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCP0214871041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical