Provider Demographics
NPI:1700692175
Name:PARRA MORALES, MAYELA
Entity type:Individual
Prefix:
First Name:MAYELA
Middle Name:
Last Name:PARRA MORALES
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 1:3286 E 105TH PL
Mailing Address - Street 2:
Mailing Address - City:NORTHGLENN
Mailing Address - State:CO
Mailing Address - Zip Code:80233-4461
Mailing Address - Country:US
Mailing Address - Phone:720-477-9569
Mailing Address - Fax:
Practice Address - Street 1:3286 E 105TH PL
Practice Address - Street 2:
Practice Address - City:NORTHGLENN
Practice Address - State:CO
Practice Address - Zip Code:80233-4461
Practice Address - Country:US
Practice Address - Phone:720-477-9569
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-12-10
Last Update Date:2024-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker