Provider Demographics
NPI:1477118396
Name:PITTMAN, KIARA N (LMHC)
Entity Type:Individual
Prefix:
First Name:KIARA
Middle Name:N
Last Name:PITTMAN
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5224 NET DR APT 213
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33634-5188
Mailing Address - Country:US
Mailing Address - Phone:719-232-4891
Mailing Address - Fax:
Practice Address - Street 1:10347 CROSS CREEK BLVD STE C
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33647-2993
Practice Address - Country:US
Practice Address - Phone:813-587-1955
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-05-06
Last Update Date:2021-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH16987101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health