Healthcare Provider Details

I. General information

NPI: 1720962384
Provider Name (Legal Business Name): SHORELINE COUNSELING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/05/2025
Last Update Date: 01/22/2026
Certification Date: 01/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

221 W WEBSTER AVE STE 514
MUSKEGON MI
49440-1292
US

IV. Provider business mailing address

221 W WEBSTER AVE STE 514
MUSKEGON MI
49440-1292
US

V. Phone/Fax

Practice location:
  • Phone: 616-466-4333
  • Fax:
Mailing address:
  • Phone: 616-466-4333
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State

VIII. Authorized Official

Name: ASHLEY F SCHNOTALA
Title or Position: OWNER/COUNSELOR
Credential: MA, LPC, NCC
Phone: 616-466-4333