Healthcare Provider Details

I. General information

NPI: 1528753373
Provider Name (Legal Business Name): ASHLEY LAYTON PITTMAN LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/07/2023
Last Update Date: 06/15/2026
Certification Date: 06/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

557 GLOVER AVE STE 3
ENTERPRISE AL
36330-2070
US

IV. Provider business mailing address

209 WINTERBERRY WAY
ENTERPRISE AL
36330-0001
US

V. Phone/Fax

Practice location:
  • Phone: 334-308-2292
  • Fax: 334-347-2919
Mailing address:
  • Phone: 334-406-3657
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberALC04361
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: