Provider Demographics
NPI:1619324779
Name:PITTS, THURAYYAH
Entity Type:Individual
Prefix:
First Name:THURAYYAH
Middle Name:
Last Name:PITTS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18204 CHISHOLM TRL
Mailing Address - Street 2:418
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77060-1123
Mailing Address - Country:US
Mailing Address - Phone:832-988-2586
Mailing Address - Fax:
Practice Address - Street 1:18204 CHISHOLM TRL
Practice Address - Street 2:418
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77060-1123
Practice Address - Country:US
Practice Address - Phone:832-988-2586
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-05-18
Last Update Date:2016-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst