Organization Active NPI

Pretty Prestigious Therapy LLC

  • Clinical Social Worker
  • Harrison TWP, MI
National Provider Identifier
1124637772
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
PRETTY PRESTIGIOUS THERAPY LLC
Practice address
36340 Union Lake Rd Apt 301
Harrison TWP, MI 48045-6630
Phone
(810) 610-0107
NPI assigned
Jul 29, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ms. Gabrielle P Pitts, SOCIAL WORKERNPI 1063811826
Title
Ceo
Phone
(810) 610-0107

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

36340 Union Lake Rd Apt 301
Harrison TWP, MI 48045-6630

Mailing address

36340 Union Lake Rd Apt 301
Harrison TWP, MI 48045-6630
Phone (810) 610-0107

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL 1063811826 Health Information Exchange (HIE)

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1595980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701043200000",
    "number": "1124637772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36340 UNION LAKE RD APT 301",
            "city": "HARRISON TWP",
            "state": "MI",
            "postal_code": "480456630",
            "telephone_number": "810-610-0107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36340 UNION LAKE RD APT 301",
            "city": "HARRISON TWP",
            "state": "MI",
            "postal_code": "480456630",
            "telephone_number": "810-610-0107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRETTY PRESTIGIOUS THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-29",
        "last_updated": "2023-11-27",
        "certification_date": "2020-07-29",
        "status": "A",
        "authorized_official_last_name": "PITTS",
        "authorized_official_first_name": "GABRIELLE",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "810-610-0107",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "SOCIAL WORKER"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "1063811826",
            "affiliation": "Y",
            "endpointDescription": "npi",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "prettyprestigioustherapy@gmail.com",
            "address_1": "36340 Union Lake Rd Apt 301",
            "city": "Harrison Twp",
            "state": "MI",
            "country_code": "US",
            "postal_code": "480456630",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Harrison TWP, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.