Provider Demographics
NPI:1952972002
Name:MCELWEE, CHERYL LEANDREA
Entity type:Individual
Prefix:
First Name:CHERYL
Middle Name:LEANDREA
Last Name:MCELWEE
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 1:111 SUSAN AVE
Mailing Address - Street 2:
Mailing Address - City:HOPKINSVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:42240-4951
Mailing Address - Country:US
Mailing Address - Phone:270-962-2255
Mailing Address - Fax:
Practice Address - Street 1:111 SUSAN AVE
Practice Address - Street 2:
Practice Address - City:HOPKINSVILLE
Practice Address - State:KY
Practice Address - Zip Code:42240-4951
Practice Address - Country:US
Practice Address - Phone:270-962-2255
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-07-08
Last Update Date:2023-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator