Provider Demographics
NPI:1871957886
Name:PITTMAN, JOSHUA A (LMHC)
Entity type:Individual
Prefix:MR
First Name:JOSHUA
Middle Name:A
Last Name:PITTMAN
Suffix:
Gender:M
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:108 N MAGNOLIA AVE
Mailing Address - Street 2:SUITE 500 A / ROOM 4
Mailing Address - City:OCALA
Mailing Address - State:FL
Mailing Address - Zip Code:34475-6604
Mailing Address - Country:US
Mailing Address - Phone:352-561-3279
Mailing Address - Fax:
Practice Address - Street 1:108 N MAGNOLIA AVE
Practice Address - Street 2:SUITE 500 A / ROOM 4
Practice Address - City:OCALA
Practice Address - State:FL
Practice Address - Zip Code:34475-6604
Practice Address - Country:US
Practice Address - Phone:352-561-3279
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-04-06
Last Update Date:2016-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH12765101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health