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NPI Code Detail

MEDICARE: MARTHA C. STITT ATR-BC, LPCC, CCDC

MEDICARE: MARTHA C. STITT ATR-BC, LPCC, CCDC
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
1101YA0400XAddiction (Substance Use Disorder) Counselor923211OH
2101YP2500XProfessional CounselorE0001506OH
3221700000XArt Therapist

General Provider Information

NPI Number : 1881729739
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARTHA C. STITT ATR-BC, LPCC, CCDC
Provider Business Mailing Address
First Line : 3436 ORMOND RD
Second Line :
City : CLEVELAND HEIGHTS
State : OH
Zip : 44118-3420
Country : US
Telephone Number : 216-932-1321
Fax Number : 216-791-5610
Provider Business Practice Location Address
First Line : 12200 FAIRHILL RD
Second Line : THE ART STUDIO - ROOM # C-155
City : CLEVELAND
State : OH
Zip : 44120-1058
Country : US
Telephone Number : 216-791-9303
Fax Number : 216-791-5610
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/22/2007
Last Update Date : 12/07/2025

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