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MR. CHARLES B PRUITT NPI 1437398799


NPI Information

NPI: 1437398799
Provider Name: MR. CHARLES B PRUITT
Classification: Counselor - 101Y00000X
Entity Type: Individual
Address:
6191 CROOKED CREEK DR
REX, GA
ZIP 30273
Phone: (404) 414-3664
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MR. Charles B Pruitt is a counselor in Rex, GA. The provider is a provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification. MR. Charles B Pruitt NPI is 1437398799. The provider is registered as an individual entity type and is a multi-specialty group.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

6191 CROOKED CREEK DR
REX, GA
ZIP 30273-008
Phone: (404) 414-3664

The enumeration date for this NPI number is 2/10/2009 and was last updated on 4/22/2024.


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
1103TP2701XPsychologistGroup PsychotherapyNo
2104100000XSocial WorkerNo
31041C0700XSocial WorkerClinicalNo
4106H00000XMarriage & Family TherapistNo
5106S00000XBehavior TechnicianNo
6101Y00000XCounselorYes
7101YA0400XCounselorAddiction (Substance Use Disorder)No
8101YM0800XCounselorMental HealthNo
9101YP2500XCounselorProfessionalNo
10103K00000XBehavior AnalystNo
11103TM1800XPsychologistIntellectual and Developmental DisabilitiesNo
12103TA0400XPsychologistAddiction (Substance Use Disorder)No
13103TP0016XPsychologistPrescribing (Medical)No
14103TA0700XPsychologistAdult Development & AgingNo
15103TB0200XPsychologistCognitive & BehavioralNo

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: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.