Provider Demographics
NPI:1134558430
Name:CALLAWAY, TROY LEIGH (LMFT)
Entity type:Individual
Prefix:MR
First Name:TROY
Middle Name:LEIGH
Last Name:CALLAWAY
Suffix:
Gender:M
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
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
Is Sole Proprietor?:Yes
Enumeration Date:2013-11-06
Last Update Date:2020-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX202096106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist