Provider Demographics
NPI:1679292775
Name:WRIGHT MIND FAMILY PSYCHIATRY
Entity type:Organization
Organization Name:WRIGHT MIND FAMILY PSYCHIATRY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/OPERATOR
Authorized Official - Prefix:
Authorized Official - First Name:ANDREA
Authorized Official - Middle Name:
Authorized Official - Last Name:WRIGHT
Authorized Official - Suffix:
Authorized Official - Credentials:PMHNP
Authorized Official - Phone:712-209-4958
Mailing Address - Street 1:800 YAUGER WAY SW UNIT L203
Mailing Address - Street 2:
Mailing Address - City:OLYMPIA
Mailing Address - State:WA
Mailing Address - Zip Code:98502-8348
Mailing Address - Country:US
Mailing Address - Phone:712-209-4958
Mailing Address - Fax:360-545-7387
Practice Address - Street 1:9329 MARTIN WAY E
Practice Address - Street 2:
Practice Address - City:OLYMPIA
Practice Address - State:WA
Practice Address - Zip Code:98516-5738
Practice Address - Country:US
Practice Address - Phone:712-209-4958
Practice Address - Fax:360-545-7387
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-08-23
Last Update Date:2022-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty