ACQUANITA PETTIS LCSW, LISW-CP
NPI 1508628033
Psychologist - Clinical in Rock Hill, SC

Q: What is Acquanita Pettis's NPI number?

The NPI number for Acquanita Pettis is 1508628033. It was assigned to this individual provider in the NPPES registry on January 30, 2024.

Q: What is Acquanita Pettis's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Q: When was this NPI record last updated?

The NPPES record for Acquanita Pettis was last updated on January 30, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since January 30, 2024

1961 BROOKSTONE WAY APT 304, ROCK HILL, SC 29732(561) 503-8230 Get Directions Write a Review

NPPES record last updated: January 30, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Acquanita Pettis Lcsw, Lisw-cp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ACQUANITA PETTIS LCSW, LISW-CP (NPI 1508628033) is an individual clinical provider in Rock Hill, South Carolina, licensed in South Carolina (16505) and active in the NPI registry since January 2024.

NPPES Registry Identity

NPI1508628033

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameACQUANITA PETTISCredential: LCSW, LISW-CP

Location Address1961 BROOKSTONE WAY APT 304Rock Hill, SC 29732-2688

Mailing Address1961 Brookstone Way Apt 304Rock Hill, SC 29732-2688 · (561) 503-8230

Phone(561) 503-8230

Sole ProprietorNo

Enumeration DateJanuary 30, 2024

NPPES CertifiedJanuary 29, 2024

✔ NPI 1508628033 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in SC · 16505

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

1961 BROOKSTONE WAY APT 304, Rock Hill, SC 29732

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Acquanita Pettis's NPI number?

The NPI number for Acquanita Pettis is 1508628033. It was assigned to this individual provider in the NPPES registry on January 30, 2024.

Where is Acquanita Pettis located?

Acquanita Pettis practices at 1961 Brookstone Way Apt 304, Rock Hill, SC 29732. The listed phone number is (561) 503-8230.

What is Acquanita Pettis's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

When was this NPI record last updated?

The NPPES record for Acquanita Pettis was last updated on January 30, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.