Healthcare Provider Details

I. General information

NPI: 1881729739
Provider Name (Legal Business Name): MARTHA C. STITT ATR-BC, LPCC, CCDC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/22/2007
Last Update Date: 12/07/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12200 FAIRHILL RD THE ART STUDIO - ROOM # C-155
CLEVELAND OH
44120-1058
US

IV. Provider business mailing address

3436 ORMOND RD
CLEVELAND HEIGHTS OH
44118-3420
US

V. Phone/Fax

Practice location:
  • Phone: 216-791-9303
  • Fax: 216-791-5610
Mailing address:
  • Phone: 216-932-1321
  • Fax: 216-791-5610

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number923211
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberE0001506
License Number StateOH
# 3
Primary TaxonomyN
Taxonomy Code221700000X
TaxonomyArt Therapist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: