Pitts, Michael R
Pitts, Michael R is an sole proprietor health care provider with primary practice located at 11285 Elkins Rd Suite D3, Roswell GA 30076-1259. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Pitts, Michael R can be contacted via phone (770) 990-7932.Contact Information
Primary practice address
11285 Elkins Rd Suite D3
Roswell GA 30076-1259
Phone: (770) 990-7932
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | PSY001830 | Georgia |
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 1052 | New Mexico |
Profile Details
| NPI number | 1699813055 |
|---|---|
| LBN Legal business name | Pitts, Michael R |
| Credentials | PSY.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 1st, 2007 |
| Last updated | Mar 11th, 2017 - about 9 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1699813055 | NPPES |
| New Mexico | MEDICAID | 13938835 | |
| New Mexico | MEDICAID | 000629978A | |
| New Mexico | Other | NOT APPLICABLE |
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