Basic Information
| Provider Information | |||||||||
| NPI: | 1447804471 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | MCGREW-LEWIS | ||||||||
| FirstName: | HELEN | ||||||||
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| Credential: | LCDC-II | ||||||||
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| Mailing Information | |||||||||
| Address1: | 4009 FOXBORO DR | ||||||||
| Address2: | |||||||||
| City: | TROTWOOD | ||||||||
| State: | OH | ||||||||
| PostalCode: | 454161624 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9376231821 | ||||||||
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| Practice Location | |||||||||
| Address1: | 1725 E 3RD ST | ||||||||
| Address2: | |||||||||
| City: | DAYTON | ||||||||
| State: | OH | ||||||||
| PostalCode: | 454031850 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9373876395 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 07/29/2019 | ||||||||
| LastUpdateDate: | 08/21/2020 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 08/21/2020 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 101YA0400X | CDCA.165333 | OH | N | Behavioral Health & Social Service Providers | Counselor | Addiction (Substance Use Disorder) | 101YA0400X | LCDCII.161655 | OH | Y | Behavioral Health & Social Service Providers | Counselor | Addiction (Substance Use Disorder) |
No ID Information.