Provider Demographics
NPI:1780063735
Name:PITTS, AMBER NOEL (MA)
Entity type:Individual
Prefix:
First Name:AMBER
Middle Name:NOEL
Last Name:PITTS
Suffix:
Gender:
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:205 W OTTLEY AVE
Mailing Address - Street 2:
Mailing Address - City:FRUITA
Mailing Address - State:CO
Mailing Address - Zip Code:81521-2117
Mailing Address - Country:US
Mailing Address - Phone:970-639-1354
Mailing Address - Fax:
Practice Address - Street 1:115 N 5TH ST STE 340
Practice Address - Street 2:
Practice Address - City:GRAND JCT
Practice Address - State:CO
Practice Address - Zip Code:81501-2676
Practice Address - Country:US
Practice Address - Phone:970-639-1354
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-05-22
Last Update Date:2025-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COLPC.0013540101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional