MR. LARRY PITTMAN NPI 1063494938

NPI Information

  • NPI: 1063494938
  • Provider Name: MR. LARRY PITTMAN
  • Classification: Counselor - 101YA0400X
  • Specialization: Addiction (Substance Use Disorder)
  • Entity Type: Individual
  • Address: 4303 CRICKLEWOOD ST
    LUMBERTON, NC
    ZIP 28358
  • Phone: (910) 738-1208

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NPI Details

MR. Larry Pittman is an addiction (substance use disorder) counselor in Lumberton, NC. MR. Larry Pittman NPI is 1063494938. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

4303 CRICKLEWOOD ST
LUMBERTON, NC
ZIP 28358-406
Phone: (910) 738-1208

The enumeration date for this NPI number is 11/16/2005 and was last updated on 7/9/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YA0400XCounselorAddiction (Substance Use Disorder)548NORTH CAROLINAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
16111774MEDICAIDNORTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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