Provider Demographics
NPI:1669700704
Name:OXENDINE-PITT, PATRICIA ANNETTE (BS, CSAC)
Entity type:Individual
Prefix:MS
First Name:PATRICIA
Middle Name:ANNETTE
Last Name:OXENDINE-PITT
Suffix:
Gender:F
Credentials:BS, CSAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:600 N GRACE ST
Mailing Address - Street 2:SUITE E
Mailing Address - City:ROCKY MOUNT
Mailing Address - State:NC
Mailing Address - Zip Code:27804-4843
Mailing Address - Country:US
Mailing Address - Phone:252-446-9900
Mailing Address - Fax:252-446-1179
Practice Address - Street 1:600 N GRACE ST
Practice Address - Street 2:SUITE E
Practice Address - City:ROCKY MOUNT
Practice Address - State:NC
Practice Address - Zip Code:27804-4843
Practice Address - Country:US
Practice Address - Phone:252-446-9900
Practice Address - Fax:252-446-1179
Is Sole Proprietor?:Yes
Enumeration Date:2009-12-01
Last Update Date:2009-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2252101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)