Provider Demographics
NPI:1487710109
Name:WRIGHT, KARA SUZANNE (PLMHP)
Entity type:Individual
Prefix:MS
First Name:KARA
Middle Name:SUZANNE
Last Name:WRIGHT
Suffix:
Gender:F
Credentials:PLMHP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:615 N ELM ST
Mailing Address - Street 2:POB 1763
Mailing Address - City:GRAND ISLAND
Mailing Address - State:NE
Mailing Address - Zip Code:68801-4254
Mailing Address - Country:US
Mailing Address - Phone:308-379-8613
Mailing Address - Fax:308-395-1060
Practice Address - Street 1:615 N ELM ST
Practice Address - Street 2:POB 1763
Practice Address - City:GRAND ISLAND
Practice Address - State:NE
Practice Address - Zip Code:68801-4254
Practice Address - Country:US
Practice Address - Phone:308-379-8613
Practice Address - Fax:308-395-1060
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE7920101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health