Provider Demographics
NPI:1336285170
Name:SPARROW, GREGORY SCOTT (LPC)
Entity Type:Individual
Prefix:DR
First Name:GREGORY
Middle Name:SCOTT
Last Name:SPARROW
Suffix:
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:217 E WARBLER AVE
Mailing Address - Street 2:
Mailing Address - City:MCALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:78504-1603
Mailing Address - Country:US
Mailing Address - Phone:956-309-3730
Mailing Address - Fax:210-405-6773
Practice Address - Street 1:217 E WARBLER AVE
Practice Address - Street 2:
Practice Address - City:MCALLEN
Practice Address - State:TX
Practice Address - Zip Code:78504-1603
Practice Address - Country:US
Practice Address - Phone:956-309-3730
Practice Address - Fax:210-405-6773
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-29
Last Update Date:2023-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX15338101YM0800X, 101YP2500X
VA0717000633106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist