Shanita Likisha Wright
Community/Behavioral Health in Louisville, KY. Individual provider (NPI-1).
NPI number1457781817
StatusActive
Last updated in NPPESNov 22, 2013
Details
- NPI
- 1457781817
- Entity type
- Individual (NPI-1)
- Name
- Shanita Likisha Wright
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Nov 22, 2013
- Last updated
- Nov 22, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251S00000X | Community/Behavioral Health | – | – | Yes |
Practice location
101 W Muhammad Ali BlvdLouisville, KY 40202-1423
Phone 502-589-8600
Mailing address
101 W Muhammad Ali BlvdLouisville, KY 40202-1423
Phone 502-589-8600
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