Provider Demographics
NPI:1417426792
Name:GRAMS, ELENI (CCHW)
Entity Type:Individual
Prefix:
First Name:ELENI
Middle Name:
Last Name:GRAMS
Suffix:
Gender:F
Credentials:CCHW
Other - Prefix:
Other - First Name:ELENI
Other - Middle Name:
Other - Last Name:SINIGOS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:620 BYRON RD STE 3D-100
Mailing Address - Street 2:
Mailing Address - City:HOWELL
Mailing Address - State:MI
Mailing Address - Zip Code:48843-1002
Mailing Address - Country:US
Mailing Address - Phone:517-545-5153
Mailing Address - Fax:
Practice Address - Street 1:620 BYRON RD STE 3D-100
Practice Address - Street 2:
Practice Address - City:HOWELL
Practice Address - State:MI
Practice Address - Zip Code:48843-1002
Practice Address - Country:US
Practice Address - Phone:517-545-5153
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-11-16
Last Update Date:2023-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172V00000XOther Service ProvidersCommunity Health Worker
No106S00000XBehavioral Health & Social Service ProvidersBehavior Technician