Provider Demographics
NPI:1194164376
Name:PITTS, TAMMY YVETTE (MS)
Entity type:Individual
Prefix:MS
First Name:TAMMY
Middle Name:YVETTE
Last Name:PITTS
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:320 W 17TH ST APT 210
Mailing Address - Street 2:1860 EAST 15TH. STREET TULSA, OK 74104
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74119-4649
Mailing Address - Country:US
Mailing Address - Phone:918-949-4430
Mailing Address - Fax:918-949-4431
Practice Address - Street 1:1860 EAST 15TH. STREET
Practice Address - Street 2:
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74104
Practice Address - Country:US
Practice Address - Phone:918-949-4430
Practice Address - Fax:918-949-4431
Is Sole Proprietor?:No
Enumeration Date:2013-06-20
Last Update Date:2013-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health