Healthcare Provider Details

I. General information

NPI: 1043157431
Provider Name (Legal Business Name): MAKARANDA PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/02/2026
Last Update Date: 05/02/2026
Certification Date: 05/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2345 7TH ST
DENVER CO
80211-5218
US

IV. Provider business mailing address

6635 S DAYTON ST STE 310
GREENWOOD VILLAGE CO
80111-6156
US

V. Phone/Fax

Practice location:
  • Phone: 503-754-6246
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number State

VIII. Authorized Official

Name: MRS. ELEANOR EVANS MEDINA
Title or Position: OWNER
Credential: MFTC
Phone: 503-754-6246