Healthcare Provider Details

I. General information

NPI: 1992618433
Provider Name (Legal Business Name): PETTIT COUNSELING PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/25/2026
Last Update Date: 09/25/2026
Certification Date: 09/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1500 DISTRICT AVE
BURLINGTON MA
01803-5069
US

IV. Provider business mailing address

9 FOSTER ST
ACTON MA
01720-5406
US

V. Phone/Fax

Practice location:
  • Phone: 469-630-2916
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number State

VIII. Authorized Official

Name: MARNIE PETTIT
Title or Position: OWNER, LMFT
Credential:
Phone: 469-630-2916