Provider Demographics
NPI:1578816070
Name:PITTS, RESHONA L (LMFT)
Entity Type:Individual
Prefix:
First Name:RESHONA
Middle Name:L
Last Name:PITTS
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:RESHONA
Other - Middle Name:L
Other - Last Name:PITTS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMFT
Mailing Address - Street 1:4001 INGLEWOOD AVE
Mailing Address - Street 2:UNIT 101-149
Mailing Address - City:REDONDO BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90278-1121
Mailing Address - Country:US
Mailing Address - Phone:310-768-3468
Mailing Address - Fax:
Practice Address - Street 1:4760 SEPULVEDA BLVD
Practice Address - Street 2:
Practice Address - City:CULVER CITY
Practice Address - State:CA
Practice Address - Zip Code:90230-4820
Practice Address - Country:US
Practice Address - Phone:310-895-2360
Practice Address - Fax:310-895-2395
Is Sole Proprietor?:No
Enumeration Date:2012-10-22
Last Update Date:2016-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101Y00000X
CAIMF 78108106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No101Y00000XBehavioral Health & Social Service ProvidersCounselor