Callicoat, Melinda K

Callicoat, Melinda K is an individual health care provider with primary practice located at 2120 S Mcclintock Dr Suite 105, Tempe AZ 85282-2692. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Marriage & Family Therapist, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Callicoat, Melinda K can be contacted via phone (480) 804-0326.

Contact Information

Primary practice address
2120 S Mcclintock Dr Suite 105 Tempe AZ 85282-2692
Phone: (480) 804-0326
Fax: (480) 804-0083
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X LAMFT-10349 Arizona
Behavioral Health & Social Service Providers / Professional 101YP2500X LPC-14161 Arizona

Profile Details

NPI number 1811252554
LBN Legal business name Callicoat, Melinda K
Credentials LPC, LAMFT
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 9th, 2012
Last updated Apr 23rd, 2017 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1811252554 NPPES
Arizona MEDICAID 816306

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