Healthcare Provider Details

I. General information

NPI: 1679406078
Provider Name (Legal Business Name): MELODY RENEE HANDY
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/04/2026
Last Update Date: 06/04/2026
Certification Date: 06/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3090 WOODLEY RD
MONTGOMERY AL
36116-3100
US

IV. Provider business mailing address

4705 HARVEST WAY
MONTGOMERY AL
36106-3148
US

V. Phone/Fax

Practice location:
  • Phone: 334-440-6449
  • Fax:
Mailing address:
  • Phone: 334-440-6449
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225A00000X
TaxonomyMusic Therapist
License Number202600000467
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: