Individual
MS. CAROL B PITTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D., LPC, LMFT
Contact information
Practice address
1814 CLAIRMONT RD, DECATUR, GA 30033-3405
(404) 636-1457
(404) 636-7449
Mailing address
1814 CLAIRMONT RD, DECATUR, GA 30033-3405
(404) 636-1457
(404) 636-7449
Taxonomy
Speciality
Code
Description
License number
State
101YP1600X
Pastoral Counselor
—
—
101YP2500X
Professional Counselor
LPC001788
GA
106H00000X
Marriage & Family Therapist
Primary
MFT000795
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
58-0899552
TAX IDENTIFICATION NUMBER
GA
Enumeration date
10/17/2005
Last updated
02/06/2019
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