Healthcare Provider Details

I. General information

NPI: 1710743463
Provider Name (Legal Business Name): ASHLYN DOTY LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/21/2024
Last Update Date: 03/09/2026
Certification Date: 03/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

19 OLD TOWN SQ STE 238
FORT COLLINS CO
80524-2471
US

IV. Provider business mailing address

2002 BATTLECREEK DR APT 12205
FORT COLLINS CO
80528-6267
US

V. Phone/Fax

Practice location:
  • Phone: 970-409-4020
  • Fax:
Mailing address:
  • Phone: 850-266-3113
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberLPC.0023432
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: