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Contact Information

WRIGHT ENHANCEMENT CENTER
3311 KIMBALL AVE
MEMPHIS, TN38111-3846
 Phone: 901-207-4662
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Adult Development & Aging

103TA0700X 62 Psychologist, Clinical
 

Community/Behavioral Health

251S00000X
 

Counseling

103TC1900X 62 Psychologist, Clinical
 

Group Psychotherapy

103TP2701X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for WRIGHT ENHANCEMENT CENTER

NPI # 1841696101
LBN Legal business name WRIGHT ENHANCEMENT CENTER
Authorized official OTIS JACKSON - (CEO/PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 11/14/2014
Last updated 11/14/2014 - About 12 years ago
Identifiers
TN License # 1000000015105
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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