Mr Charles B Pruitt, is a
Counselor based in Rex, Georgia. Mr Charles B Pruitt is licensed to practice in * (Not Available) (license number ) and his current practice location is
6191 Crooked Creek Dr, Rex, Georgia. He can be reached at his office (for appointments etc.) via phone at
(404) 414-3664.
NPI number for Mr Charles B Pruitt is 1437398799 and his current mailing address is 4061 N Henry Blvd, Suite E, Stockbridge, Georgia. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1437398799.
Healthcare Provider's Profile
| Full Name | Mr Charles B Pruitt |
|---|
| Gender | Male |
|---|
| Speciality | Counselor |
|---|
| Location | 6191 Crooked Creek Dr, Rex, Georgia |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1437398799
- Provider Enumeration Date: 02/10/2009
- Last Update Date: 04/22/2024
Medical Identifiers
Medical identifiers for Mr Charles B Pruitt such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1437398799 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 103TP2701X | Psychologist - Group Psychotherapy | (* (Not Available)) | Secondary |
| 104100000X | Social Worker | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Secondary |
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Secondary |
| 106S00000X | Behavior Technician | (* (Not Available)) | Secondary |
| 101Y00000X | Counselor | (* (Not Available)) | Primary |
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Secondary |
| 103K00000X | Behavior Analyst | (* (Not Available)) | Secondary |
| 103TM1800X | Psychologist - Intellectual & Developmental Disabilities | (* (Not Available)) | Secondary |
| 103TA0400X | Psychologist - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| 103TP0016X | Psychologist - Prescribing (medical) | (* (Not Available)) | Secondary |
| 103TA0700X | Psychologist - Adult Development & Aging | (* (Not Available)) | Secondary |
| 103TB0200X | Psychologist - Cognitive & Behavioral | (* (Not Available)) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Charles B Pruitt is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mr Charles B Pruitt,
4061 N Henry Blvd, Suite E,
Stockbridge, GA 30281
Ph: (404) 629-7378 | Mr Charles B Pruitt,
6191 Crooked Creek Dr,
Rex, GA 30273-5008
Ph: (404) 414-3664 |
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