Provider Demographics
NPI:1437466646
Name:PITTS, JOY L (LPC)
Entity Type:Individual
Prefix:
First Name:JOY
Middle Name:L
Last Name:PITTS
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3221 GRENACHE ST
Mailing Address - Street 2:
Mailing Address - City:EVANS
Mailing Address - State:CO
Mailing Address - Zip Code:80634-8943
Mailing Address - Country:US
Mailing Address - Phone:970-281-5162
Mailing Address - Fax:
Practice Address - Street 1:3221 GRENACHE ST
Practice Address - Street 2:
Practice Address - City:EVANS
Practice Address - State:CO
Practice Address - Zip Code:80634-8943
Practice Address - Country:US
Practice Address - Phone:620-482-0251
Practice Address - Fax:844-833-5676
Is Sole Proprietor?:No
Enumeration Date:2010-09-09
Last Update Date:2021-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO12221101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO1316395700OtherNPI GROUP
CO19913541Medicaid