Provider Demographics
NPI:1356235725
Name:TACTFUL DISRUPTION
Entity type:Organization
Organization Name:TACTFUL DISRUPTION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BUSINESS PSYCHOLOGIST / CLINICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:ARIEL
Authorized Official - Middle Name:BRITTANY
Authorized Official - Last Name:MCGREW
Authorized Official - Suffix:
Authorized Official - Credentials:LPC, LPCC, PHD
Authorized Official - Phone:312-956-6463
Mailing Address - Street 1:5601 29TH ST UNIT 1512
Mailing Address - Street 2:
Mailing Address - City:GREELEY
Mailing Address - State:CO
Mailing Address - Zip Code:80634-8160
Mailing Address - Country:US
Mailing Address - Phone:312-956-6463
Mailing Address - Fax:
Practice Address - Street 1:5601 29TH ST UNIT 1512
Practice Address - Street 2:
Practice Address - City:GREELEY
Practice Address - State:CO
Practice Address - Zip Code:80634-8160
Practice Address - Country:US
Practice Address - Phone:312-956-6463
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-06-09
Last Update Date:2025-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)