Provider Demographics
NPI:1881200889
Name:TROY L CALLAWAY MS LMFT PLLC
Entity Type:Organization
Organization Name:TROY L CALLAWAY MS LMFT PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:TROY
Authorized Official - Middle Name:LEIGH
Authorized Official - Last Name:CALLAWAY
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:817-946-2790
Mailing Address - Street 1:500 PLANTATION CT
Mailing Address - Street 2:
Mailing Address - City:BURLESON
Mailing Address - State:TX
Mailing Address - Zip Code:76028-1489
Mailing Address - Country:US
Mailing Address - Phone:214-926-2313
Mailing Address - Fax:817-668-0527
Practice Address - Street 1:3901 W GREEN OAKS BLVD STE B
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76016-2789
Practice Address - Country:US
Practice Address - Phone:817-946-2790
Practice Address - Fax:817-668-0527
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-09-16
Last Update Date:2020-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty