MEDICARE: JUNE PITTMAN

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	MH19050	FL

General Provider Information

NPI Number	:	1760062624
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JUNE PITTMAN

Provider Business Mailing Address
First Line	:	1310 WESTOVER RD
Second Line	:
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33417-5453
Country	:	US
Telephone Number	:	561-312-4573
Fax Number	:

Provider Business Practice Location Address
First Line	:	3800 W BROWARD BLVD
Second Line	:
City	:	FORT LAUDERDALE
State	:	FL
Zip	:	33312-1018
Country	:	US
Telephone Number	:	954-587-1008
Fax Number	:

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

Provider Enumeration Date	:	04/13/2021
Last Update Date	:	02/21/2026

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Directions to “ JUNE PITTMAN ” Practice Location

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