MEDICARE: TARAWA PITRE-WHITFIELD LPC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor		TX
2	171M00000X	Case Manager/Care Coordinator
3	101YP2500X	Professional Counselor	88102	TX

General Provider Information

NPI Number	:	1508182171
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TARAWA PITRE-WHITFIELD LPC

Provider Business Mailing Address
First Line	:	1431 W APRIL RAIN CT
Second Line	:
City	:	MISSOURI CITY
State	:	TX
Zip	:	77489-3159
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1431 W APRIL RAIN CT
Second Line	:
City	:	MISSOURI CITY
State	:	TX
Zip	:	77489-3159
Country	:	US
Telephone Number	:	281-416-7895
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/07/2010
Last Update Date	:	11/15/2024

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