Provider Demographics
NPI:1154636116
Name:MCGREW, ELAINA MARIEL
Entity Type:Individual
Prefix:MISS
First Name:ELAINA
Middle Name:MARIEL
Last Name:MCGREW
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1439 LIPAN ST
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80204-2532
Mailing Address - Country:US
Mailing Address - Phone:303-394-4386
Mailing Address - Fax:303-336-0966
Practice Address - Street 1:793 OLIVE ST
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80220-5552
Practice Address - Country:US
Practice Address - Phone:303-394-4386
Practice Address - Fax:303-336-0966
Is Sole Proprietor?:No
Enumeration Date:2010-08-16
Last Update Date:2013-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health