MEDICARE: MELODY A FORD MMFT, LPC-MHSP

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	101YP2500X	Professional Counselor	2185	TN

General Provider Information

NPI Number	:	1841328895
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MELODY A FORD MMFT, LPC-MHSP

Provider Business Mailing Address
First Line	:	4788 TROUSDALE DR
Second Line	:
City	:	NASHVILLE
State	:	TN
Zip	:	37220-1304
Country	:	US
Telephone Number	:	615-668-5823
Fax Number	:	931-451-7181

Provider Business Practice Location Address
First Line	:	220 TOWN CENTER PKWY
Second Line	:	SUITE 203
City	:	SPRING HILL
State	:	TN
Zip	:	37174-4407
Country	:	US
Telephone Number	:	615-668-5823
Fax Number	:	931-451-7181

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

Provider Enumeration Date	:	03/01/2007
Last Update Date	:	12/08/2008

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