Provider Demographics
NPI:1679296479
Name:MCELROY, DAVID (MA,PLPC,NCC)
Entity Type:Individual
Prefix:MR
First Name:DAVID
Middle Name:
Last Name:MCELROY
Suffix:
Gender:M
Credentials:MA,PLPC,NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5734 N BROADWAY ST
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64118-3997
Mailing Address - Country:US
Mailing Address - Phone:360-777-7557
Mailing Address - Fax:
Practice Address - Street 1:5734 N BROADWAY ST
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64118-3997
Practice Address - Country:US
Practice Address - Phone:360-777-7557
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-09-26
Last Update Date:2022-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2022028873101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health