# MCGRIM HEALTH LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1689453334
- **Authorized official:** PEARL EZEGRIM PMHNP-BC (AUTHORIZED OFFICIAL)
- **Authorized official phone:** (424) 622-8428

## Contact information

- **Practice address:** 743 BRICK ROW DR APT 1224, RICHARDSON, TX 75081-4980
- **Practice address phone:** (847) 693-6582
- **Mailing address:** 743 BRICK ROW DR APT 1224, RICHARDSON, TX 75081-4980

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 09/22/2023
- **Last updated:** 09/22/2023