Provider Demographics
NPI:1639443914
Name:HOLLAND-PITTS, KRISTIN LYNN (MS, LPC-S)
Entity Type:Individual
Prefix:MRS
First Name:KRISTIN
Middle Name:LYNN
Last Name:HOLLAND-PITTS
Suffix:
Gender:F
Credentials:MS, LPC-S
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:801 QUAIL RIDGE RD
Mailing Address - Street 2:
Mailing Address - City:NEWCASTLE
Mailing Address - State:OK
Mailing Address - Zip Code:73065-5822
Mailing Address - Country:US
Mailing Address - Phone:405-669-1989
Mailing Address - Fax:
Practice Address - Street 1:8524 S WESTERN AVE STE 107
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73139-9247
Practice Address - Country:US
Practice Address - Phone:405-669-1989
Practice Address - Fax:405-294-1166
Is Sole Proprietor?:Yes
Enumeration Date:2012-03-03
Last Update Date:2024-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK6489101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health