Provider Demographics
NPI:1295125839
Name:PITTMAN, CINDY (MS, LPC)
Entity type:Individual
Prefix:
First Name:CINDY
Middle Name:
Last Name:PITTMAN
Suffix:
Gender:F
Credentials:MS, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1386
Mailing Address - Street 2:
Mailing Address - City:CASTROVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:78009-1386
Mailing Address - Country:US
Mailing Address - Phone:830-538-2467
Mailing Address - Fax:830-538-2475
Practice Address - Street 1:703 HWY 90 E
Practice Address - Street 2:STE 108
Practice Address - City:CASTROVILLE
Practice Address - State:TX
Practice Address - Zip Code:78009
Practice Address - Country:US
Practice Address - Phone:830-538-2467
Practice Address - Fax:830-538-2475
Is Sole Proprietor?:Yes
Enumeration Date:2015-02-04
Last Update Date:2015-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX70436101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional