Provider Demographics
NPI:1407334824
Name:RITT, WILLIAM KILEY (LPC, NADD-DDS)
Entity Type:Individual
Prefix:MR
First Name:WILLIAM
Middle Name:KILEY
Last Name:RITT
Suffix:
Gender:M
Credentials:LPC, NADD-DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2337 W 11TH ST APT 10
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44113-3695
Mailing Address - Country:US
Mailing Address - Phone:440-477-1695
Mailing Address - Fax:
Practice Address - Street 1:2337 WEST 11TH ST. #10
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44113-4411
Practice Address - Country:US
Practice Address - Phone:440-477-1695
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-07-30
Last Update Date:2018-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHC.1400067101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health