Healthcare Provider Details

I. General information

NPI: 1699600247
Provider Name (Legal Business Name): STEPHEN PITTS MA
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/16/2026
Last Update Date: 06/16/2026
Certification Date: 06/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3146 E HALO LN
SAINT GEORGE UT
84790-1989
US

IV. Provider business mailing address

3146 E HALO LN
SAINT GEORGE UT
84790-1989
US

V. Phone/Fax

Practice location:
  • Phone: 208-221-2199
  • Fax:
Mailing address:
  • Phone: 208-221-2199
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: