Pitts, Tina M.
Pitts, Tina M. is an individual health care provider with primary practice located at 157 N Coronado Dr , Sierra Vista AZ 85635-6360. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Pitts, Tina M. can be contacted via phone (520) 308-1304.Contact Information
Primary practice address
157 N Coronado Dr
Sierra Vista AZ 85635-6360
Phone: (520) 308-1304
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Social Worker | 104100000X | 4066 | North Dakota |
| Behavioral Health & Social Service Providers / Social Worker | 104100000X | 3032-S | Nevada |
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | LCSW-13048 | Arizona |
Profile Details
| NPI number | 1295803609 |
|---|---|
| LBN Legal business name | Pitts, Tina M. |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 1st, 2006 |
| Last updated | Feb 4th, 2020 - about 6 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 | 1295803609 | NPPES |
| North Dakota | MEDICAID | 54523 |
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