MEDICARE: MELODY PEWITT LPCC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YP2500X	Professional Counselor	163833	KY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1144569237
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MELODY PEWITT LPCC

Provider Business Mailing Address
First Line	:	PO BOX 790
Second Line	:
City	:	ASHLAND
State	:	KY
Zip	:	41105-0790
Country	:	US
Telephone Number	:	606-329-8588
Fax Number	:	606-329-8195

Provider Business Practice Location Address
First Line	:	2516 CARTER AVE
Second Line	:
City	:	ASHLAND
State	:	KY
Zip	:	41101-7830
Country	:	US
Telephone Number	:	606-329-8588
Fax Number	:	606-325-8606

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/08/2013
Last Update Date	:	07/24/2025

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