Healthcare Provider Details

I. General information

NPI: 1689226995
Provider Name (Legal Business Name): ASHLEE PECK LPCA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ASHLEE ROWE

II. Dates (important events)

Enumeration Date: 07/16/2019
Last Update Date: 09/24/2024
Certification Date: 09/17/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6417 US 60
ASHLAND KY
41102
US

IV. Provider business mailing address

PO BOX 790
ASHLAND KY
41105-0790
US

V. Phone/Fax

Practice location:
  • Phone: 606-475-0200
  • Fax: 606-329-1530
Mailing address:
  • Phone: 606-329-8588
  • Fax: 606-329-8195

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number242693
License Number StateKY
# 2
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number242693
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: