MEDICARE: PITT COUNSELING, PLLC

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	1041C0700X	Clinical Social Worker		NC

General Provider Information

NPI Number	:	1528262763
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PITT COUNSELING, PLLC

Provider Business Mailing Address
First Line	:	PO BOX 3843
Second Line	:
City	:	GREENVILLE
State	:	NC
Zip	:	27836-1843
Country	:	US
Telephone Number	:	252-355-5587
Fax Number	:	252-355-0388

Provider Business Practice Location Address
First Line	:	1912 E FIRE TOWER RD
Second Line	:	SUITE 113
City	:	GREENVILLE
State	:	NC
Zip	:	27858-4194
Country	:	US
Telephone Number	:	252-355-5587
Fax Number	:	252-355-0388

Authorized Official
Title or Position	:	OWNER PSYCHOTHERAPIST
Name	:	RENEE LATRESE PEARSON
Credential	:
Telephone Number	:	252-355-5587

Provider Enumeration Date	:	06/12/2007
Last Update Date	:	08/22/2020

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