Provider Demographics
NPI:1366842452
Name:PITTS, ANGELA B (MS, LMHC, LPC, NCC)
Entity type:Individual
Prefix:
First Name:ANGELA
Middle Name:B
Last Name:PITTS
Suffix:
Gender:F
Credentials:MS, LMHC, LPC, NCC
Other - Prefix:
Other - First Name:ANGELA
Other - Middle Name:
Other - Last Name:RAMSEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:137 WANDERING BROOK RD
Mailing Address - Street 2:
Mailing Address - City:IRMO
Mailing Address - State:SC
Mailing Address - Zip Code:29063-2820
Mailing Address - Country:US
Mailing Address - Phone:989-245-1700
Mailing Address - Fax:
Practice Address - Street 1:137 WANDERING BROOK RD
Practice Address - Street 2:
Practice Address - City:IRMO
Practice Address - State:SC
Practice Address - Zip Code:29063-2820
Practice Address - Country:US
Practice Address - Phone:989-245-1700
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-08-26
Last Update Date:2024-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH 14807101YM0800X
SC7727101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health