Healthcare Provider Details

I. General information

NPI: 1184533903
Provider Name (Legal Business Name): MELODY CABRALES
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/07/2026
Last Update Date: 09/07/2026
Certification Date: 09/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

45604 65TH ST E
LANCASTER CA
93535-8301
US

IV. Provider business mailing address

45604 65TH ST E
LANCASTER CA
93535-8301
US

V. Phone/Fax

Practice location:
  • Phone: 661-494-6319
  • Fax:
Mailing address:
  • Phone: 661-494-4319
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: