Provider Demographics
NPI:1710855887
Name:CADY-MEANEY, ELYSE TAKACH
Entity type:Individual
Prefix:MRS
First Name:ELYSE
Middle Name:TAKACH
Last Name:CADY-MEANEY
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 1:21851 ONTAGA ST
Mailing Address - Street 2:
Mailing Address - City:FARMINGTON HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48336-6048
Mailing Address - Country:US
Mailing Address - Phone:734-904-9930
Mailing Address - Fax:
Practice Address - Street 1:21851 ONTAGA ST
Practice Address - Street 2:
Practice Address - City:FARMINGTON HILLS
Practice Address - State:MI
Practice Address - Zip Code:48336-6048
Practice Address - Country:US
Practice Address - Phone:734-904-9930
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-10-29
Last Update Date:2025-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator