Healthcare Provider Details

I. General information

NPI: 1780592360
Provider Name (Legal Business Name): REBEKAH ANN PITT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/01/2026
Last Update Date: 09/01/2026
Certification Date: 08/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

684 WEST 18TH STREET
EDMOND OK
73013
US

IV. Provider business mailing address

2621 LOBLOLLY LN
EDMOND OK
73012-1252
US

V. Phone/Fax

Practice location:
  • Phone: 405-363-0446
  • Fax:
Mailing address:
  • Phone: 405-363-0446
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberLPCCANDIDATE13613
License Number StateOK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: