Provider Demographics
NPI:1245798958
Name:CALLOWAY CONSULTING LLC
Entity Type:Organization
Organization Name:CALLOWAY CONSULTING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:DARRYL
Authorized Official - Middle Name:L
Authorized Official - Last Name:CALLOWAY
Authorized Official - Suffix:
Authorized Official - Credentials:MA, LPCS
Authorized Official - Phone:334-399-5371
Mailing Address - Street 1:7920 BRIDGEWATER TRCE
Mailing Address - Street 2:
Mailing Address - City:MONTGOMERY
Mailing Address - State:AL
Mailing Address - Zip Code:36117-8210
Mailing Address - Country:US
Mailing Address - Phone:334-399-5371
Mailing Address - Fax:
Practice Address - Street 1:504 WHATLEY ST
Practice Address - Street 2:
Practice Address - City:ANDALUSIA
Practice Address - State:AL
Practice Address - Zip Code:36420-4934
Practice Address - Country:US
Practice Address - Phone:334-399-5371
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-03-12
Last Update Date:2019-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty