Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mary Russell-Wright, LPC

Individual provider Mental Health Counselor · NPI 1588068670

Mary Russell-Wright, LPC is a Mental Health Counselor in Tyrone, Georgia. Qualified in 1993, 33 years ago. Practices with Sondermind Provider Network LLC, a 1,258-clinician group and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
33
Licensed in
GA
In the registry since
2014
What do these letters mean?
LPC — Licensed Professional Counselor
A licensed mental health counsellor.

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Practice location Address checks out

104 Worthington Ct
Tyrone, GA 30290-1550
Phone: (321) 279-7503
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence LPC 007138 (GA)

Record details

NPI number1588068670
Entity typeIndividual (Type 1)
GenderFemale
Credentials LPC
Sole proprietorYes
NPI enumeratedOctober 17, 2014
Last updated in NPPESOctober 17, 2014
Mailing address104 Worthington Ct, Tyrone, GA 30290-1550

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 1993 (33 years in practice)
Group practice Sondermind Provider Network Llc — 1258 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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