Provider Demographics
NPI:1407375983
Name:SNYDER-PITTS, ALLYSON RACHEL (LSW)
Entity Type:Individual
Prefix:MS
First Name:ALLYSON
Middle Name:RACHEL
Last Name:SNYDER-PITTS
Suffix:
Gender:F
Credentials:LSW
Other - Prefix:MS
Other - First Name:ALLYSON
Other - Middle Name:RACHEL
Other - Last Name:PITTS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LSW
Mailing Address - Street 1:450 E LINCOLN AVE
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43214-1338
Mailing Address - Country:US
Mailing Address - Phone:614-225-0990
Mailing Address - Fax:
Practice Address - Street 1:199 S CENTRAL AVE
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43223-1301
Practice Address - Country:US
Practice Address - Phone:614-278-0076
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-09-15
Last Update Date:2021-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHS12014601041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical