IndividualActive
Charles Pruitt
NPI 1437398799 · Counselor · Rex, GA
Provider details
- NPI number
- 1437398799
- Entity type
- Individual
- Primary specialty
- CounselorBehavioral Health & Social Service Providers
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Behavioral Health & Social Service Providers
- Group Psychotherapy Psychologist103TP2701X
Behavioral Health & Social Service Providers
- Social Worker104100000X
Behavioral Health & Social Service Providers
- Clinical Social Worker1041C0700X
Behavioral Health & Social Service Providers
- Marriage & Family Therapist106H00000X
Behavioral Health & Social Service Providers
- Behavior Technician106S00000X
Behavioral Health & Social Service Providers
Practice location
6191 Crooked Creek Dr
Rex, GA 30273-5008
Phone: (404) 414-3664
Approximate (ZIP-level) locationGet directions
Mailing address
4061 N Henry Blvd
Stockbridge, GA 30281
Registry dates
- Enumerated
- 2009-02-10
- Last updated
- 2024-04-22
- Certified
- 2024-04-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.