Healthcare Provider Details

I. General information

NPI: 1528972742
Provider Name (Legal Business Name): MELISSA DIANE STOVER MS, ALC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/02/2026
Last Update Date: 10/02/2026
Certification Date: 10/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

102 N EMMETT ST
ALBERTVILLE AL
35950-1658
US

IV. Provider business mailing address

10112 AL HIGHWAY 75
HORTON AL
35980-8457
US

V. Phone/Fax

Practice location:
  • Phone: 256-660-0796
  • Fax: 256-298-5057
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberALC06232
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: