| Crystal Pitts, Llc | |
|
1211 Magnolia Court Suite 101 Moore OK 73160 | |
| (405) 317-7646 | |
| Not Available |
| Full Name | Crystal Pitts, Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 1211 Magnolia Court, Moore, Oklahoma |
| Authorized Official Name and Position | Crystal Pitts (PRESIDENT) |
| Authorized Official Contact | 4053177646 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Crystal Pitts, Llc 2316 Wimberley Creek Dr Moore OK 73160-8399 Ph: (405) 317-7646 | Crystal Pitts, Llc 1211 Magnolia Court Suite 101 Moore OK 73160 Ph: (405) 317-7646 |
| NPI Number | 1780448506 |
|---|---|
| Provider Enumeration Date | 02/12/2024 |
| Last Update Date | 03/25/2024 |
| Certification Date | 03/25/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780448506 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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