MEDICARE: MELODY ROSE SHADDOX LPC

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	101Y00000X	Counselor	18004	TX

General Provider Information

NPI Number	:	1154539187
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MELODY ROSE SHADDOX LPC

Provider Business Mailing Address
First Line	:	6838 SPRING ROSE ST
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78249-2945
Country	:	US
Telephone Number	:	210-347-7034
Fax Number	:

Provider Business Practice Location Address
First Line	:	6838 SPRING ROSE ST
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78249-2945
Country	:	US
Telephone Number	:	210-347-7034
Fax Number	:

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

Provider Enumeration Date	:	05/21/2007
Last Update Date	:	07/09/2007

Similar Medicare Providers

1881914000 — GRUPO MEDICO POLICLINICA SAN PEDRO MEDICARE ADVANTAGE
Practice Location Address:

211 CALLE MORSE
ARROYO, PR
00714-2350

Practice Phone: 787-839-3980
Practice Fax: 787-271-2515

1538470729 — MS. HORTENSIA MARTINEZ TELLEZ LCSW
Practice Location Address:

6830 SPRING ROSE ST
SAN ANTONIO, TX
78249-2945

Practice Phone: 210-771-1957
Practice Fax:

1871512632 — MR. JAMES HALLORAN RN MSN CNS
Practice Location Address:

310 NORTHRIDGE DR
SAN ANTONIO, TX
78209-2945

Practice Phone: 210-617-5300
Practice Fax:

1548923634 — MRS. TIFFANY FORD MA, LPC
Practice Location Address:

20903 LAS LOMAS BLVD
SAN ANTONIO, TX
78258-2945

Practice Phone: 831-272-2773
Practice Fax:

1578232260 — KORINA TREZZA-DEL VALLE
Practice Location Address:

2945 MCMILLAN AVE STE 240
SAN LUIS OBISPO, CA
93401-6771

Practice Phone: 805-439-4890
Practice Fax:

1336119890 — MRS. IRIS LUGO LCDA.
Practice Location Address:

1619 CALLE TIBER , RIO PIEDRAS HEIGHTS
SAN JUAN, PR
00926-2945

Practice Phone: 787-754-8398
Practice Fax:

Directions to “ MELODY ROSE SHADDOX LPC” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.