MEDICARE: MELODY CALLAWAY 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	101YM0800X	Mental Health Counselor	93619	TX

General Provider Information

NPI Number	:	1447193024
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MELODY CALLAWAY LPC

Provider Business Mailing Address
First Line	:	8612 TRAILRIDGE DR
Second Line	:
City	:	TEMPLE
State	:	TX
Zip	:	76502-5204
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	8612 TRAILRIDGE DR
Second Line	:
City	:	TEMPLE
State	:	TX
Zip	:	76502-5204
Country	:	US
Telephone Number	:	254-563-4560
Fax Number	:

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

Provider Enumeration Date	:	04/10/2026
Last Update Date	:	04/10/2026

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Directions to “ MELODY CALLAWAY LPC” Practice Location

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