Provider Demographics
NPI:1881943736
Name:MCGREW, ESTHER (LCDC)
Entity type:Individual
Prefix:MRS
First Name:ESTHER
Middle Name:
Last Name:MCGREW
Suffix:
Gender:F
Credentials:LCDC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1005 W JEFFERSON BLVD STE 203
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75208-5091
Mailing Address - Country:US
Mailing Address - Phone:214-394-8586
Mailing Address - Fax:972-767-4848
Practice Address - Street 1:1005 W JEFFERSON BLVD STE 203
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75208-5091
Practice Address - Country:US
Practice Address - Phone:214-394-8586
Practice Address - Fax:972-767-4848
Is Sole Proprietor?:Yes
Enumeration Date:2012-09-06
Last Update Date:2012-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX10931101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)