Search › Michigan › 1041C0700X
Mark Pruitt, LCSW
NPI 1538273743 · on the registry since 2006 · sole proprietor
Practice
- Address
- 904 Hawthorne Ave
Ypsilanti, MI 48198 - Phone
- (734) 431-2166
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Also registered as
- 104100000X
1041C0700X - Licence states on file
- MI, KY, IN
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2026-08-25
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan