MARIELLE GRENADE-WILLIS LPCC, NCC
NPI 1245912997
Counselor - Mental Health in Denver, CO
Active since August 02, 2023
About Marielle Grenade-willis Lpcc, Ncc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MARIELLE GRENADE-WILLIS LPCC, NCC (NPI 1245912997) is an individual mental health provider in Denver, Colorado, licensed in Colorado (LPCC.0018746) and active in the NPI registry since August 2023.
NPPES Registry Identity
NPI1245912997
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMARIELLE GRENADE-WILLISCredential: LPCC, NCC
Location Address2238 S BROADWAYDenver, CO 80210-4419
Mailing Address2640 Lamar StWheat Ridge, CO 80214-8062
Phone(719) 428-6267
Sole ProprietorYes
Enumeration DateAugust 2, 2023
NPPES CertifiedAugust 2, 2023
✔ NPI 1245912997 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in CO · LPCC.0018746
2238 S BROADWAY, Denver, CO 80210
Other Providers at the Same Location NPPES 6
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1245912997, enumerated as an "individual" on August 02, 2023.
The provider is located at 2238 S BROADWAY DENVER, CO 80210 and the phone number is (719) 428-6267.
Counselor with taxonomy code 101YM0800X and a focus in Mental Health.