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NPI Code Detail

MEDICARE: MAKARANDA PLLC

MEDICARE: MAKARANDA PLLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106H00000XMarriage & Family Therapist

General Provider Information

NPI Number : 1043157431
Entity Type Code : Organization
Provider Name (Legal Business Name) : MAKARANDA PLLC
Provider Business Mailing Address
First Line : 6635 S DAYTON ST STE 310
Second Line :
City : GREENWOOD VILLAGE
State : CO
Zip : 80111-6156
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2345 7TH ST
Second Line :
City : DENVER
State : CO
Zip : 80211-5218
Country : US
Telephone Number : 503-754-6246
Fax Number :
Authorized Official
Title or Position : OWNER
Name : MRS. ELEANOR EVANS MEDINA
Credential : MFTC
Telephone Number : 503-754-6246
Provider Enumeration Date : 05/02/2026
Last Update Date : 05/02/2026

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Directions to “MAKARANDA PLLC ” Practice Location

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