| Doctor Name: | MS. TIFFANY J PITTMAN |
| NPI Number: | 1629489356 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MA, LPC, AADC |
| License Number: | 06-304 |
| Business Practice Address: | 97 Great Teays Blvd Ste 6 Scott Depot, WV - 255609815 |
| Business Phone Number: | 3047576999 |
| Business Fax Number: | 3047573252 |
| Mailing Address: | 2 Chateau Ln, BARBOURSVILLE |
| State: | WV |
| Postal Code: | 255041626 |
| Phone Number: | 3047369662 |
| Fax Number: | 3047330079 |
| NPI Enumeration Date: | 05/15/2014 |
| NPI Last Update Date: | 03/31/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | 06-304 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | WV |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |