Provider Demographics
NPI:1497111074
Name:PITOSCIA, LAUREN (MMFT)
Entity Type:Individual
Prefix:
First Name:LAUREN
Middle Name:
Last Name:PITOSCIA
Suffix:
Gender:F
Credentials:MMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1101 DOWNS BLVD APT 102
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN
Mailing Address - State:TN
Mailing Address - Zip Code:37064-3861
Mailing Address - Country:US
Mailing Address - Phone:615-739-8488
Mailing Address - Fax:
Practice Address - Street 1:321 BILLINGSLY CT
Practice Address - Street 2:SUITE #3
Practice Address - City:FRANKLIN
Practice Address - State:TN
Practice Address - Zip Code:37067-6444
Practice Address - Country:US
Practice Address - Phone:615-739-8488
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-01-12
Last Update Date:2016-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist