Healthcare Provider Details

I. General information

NPI: 1841009701
Provider Name (Legal Business Name): MELODY DAWN BEISCOE LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/06/2025
Last Update Date: 09/21/2026
Certification Date: 08/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2409 HOMER CLAYTON DRIVE
GUNTERSVILLE AL
35976
US

IV. Provider business mailing address

2409 HOMER CLAYTON DRIVE
GUNTERSVILLE AL
35976
US

V. Phone/Fax

Practice location:
  • Phone: 256-582-3203
  • Fax: 256-582-3216
Mailing address:
  • Phone: 256-582-3203
  • Fax: 256-582-3216

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberLPC06044
License Number StateAL
# 2
Primary TaxonomyN
Taxonomy Code101Y00000X
TaxonomyCounselor
License NumberALC0941
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: