Main Street Counseling, LLC

NPI #1538596374 in Monroe, Connecticut

Provider Information

NPI Number: 1538596374
Entity Type: Organization
Organization Name: Main Street Counseling, LLC
Primary Specialty: Counselor - Professional
Enumeration Date: Oct 10, 2013
Last Updated: Mar 10, 2017

Practice Location

Address: 115 MAIN ST
Address 2: UNIT 4
City: Monroe
State: Connecticut
ZIP Code: 06468-1662
Phone: (203) 449-7908

Authorized Official

Name: TARA E BEALL-GOMES, NCC, LPC
Title: OWNER
Phone: (203) 449-7908

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X
Counselor - School — School	101YS0200X
Social Worker - Clinical — Clinical	1041C0700X
Counselor - Professional — Professional	101YP2500X	Primary

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