Pitts, Carol B

Pitts, Carol B is an individual health care provider with primary practice located at 1814 Clairmont Rd , Decatur GA 30033-3405. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Pastoral, Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Marriage & Family Therapist is her primary health care specialty. Pitts, Carol B can be contacted via phone (404) 636-1457.

Contact Information

Primary practice address
1814 Clairmont Rd Decatur GA 30033-3405
Phone: (404) 636-1457
Fax: (404) 636-7449
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Pastoral 101YP1600X
Behavioral Health & Social Service Providers / Professional 101YP2500X LPC001788 Georgia
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X MFT000795 Georgia

Profile Details

NPI number 1427047125
LBN Legal business name Pitts, Carol B
Credentials PH.D., LPC, LMFT
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 17th, 2005
Last updated Feb 6th, 2019 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1427047125 NPPES
Georgia Other 58-0899552 TAX IDENTIFICATION NUMBER

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