Pruitt, Amy Elizabeth

Pruitt, Amy Elizabeth is an sole proprietor health care provider with primary practice located at 1002 39Th Ave Sw Ste 208 , Puyallup WA 98373-3805. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Marriage & Family Therapist, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Counselor is her primary health care specialty. Pruitt, Amy Elizabeth can be contacted via phone (253) 317-1737.

Contact Information

Primary practice address
1002 39Th Ave Sw Ste 208 Puyallup WA 98373-3805
Phone: (253) 317-1737
Fax: (253) 697-3730
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X CG60950866 Washington
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X
Behavioral Health & Social Service Providers / Mental Health 101YM0800X Oregon

Profile Details

NPI number 1316157811
LBN Legal business name Pruitt, Amy Elizabeth
Credentials LMFT
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 23rd, 2007
Last updated Feb 16th, 2024 - about 10 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1316157811 NPPES
Oregon MEDICAID 500663797

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