Individual
TULLIO DAVID PITASSI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCDP LMHC PHD
Contact information
Practice address
50 HEALTH LN, THE KENT CENTER, WARWICK, RI 02886-2711
(401) 732-5656
(401) 738-8634
Mailing address
148 OLD SNAKE HILL RD, CHEPACHET, RI 02814
(401) 568-1873
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
00140
RI
101YM0800X
Mental Health Counselor
LMHC00070
RI
103T00000X
Psychologist
2788
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
301118
BLUE CROSS
RI
01
—
406688
BLUE CHIP
RI
01
—
6244587
UBH
RI
05
—
TP09009
—
RI
Enumeration date
11/07/2006
Last updated
07/23/2009
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