Healthcare Provider Details

I. General information

NPI: 1538015961
Provider Name (Legal Business Name): ASHLEY PECOTT PROFESSIONAL COUNSELING
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/09/2026
Last Update Date: 03/09/2026
Certification Date: 03/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

510 W SAVIDGE ST STE B #118
SPRING LAKE MI
49456-3108
US

IV. Provider business mailing address

510 W SAVIDGE ST STE B #118
SPRING LAKE MI
49456-3108
US

V. Phone/Fax

Practice location:
  • Phone: 616-303-5909
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: ASHLEY PECOTT
Title or Position: CLINICAL MENTAL HEALTH COUNSELOR
Credential: LPC CAADC
Phone: 616-303-5909