Main Street Counseling Center, LLC

NPI #1609193002 in Grapevine, Texas

Provider Information

NPI Number
1609193002
Entity Type
Organization
Organization Name
Main Street Counseling Center, LLC
Primary Specialty
Social Worker - Clinical
Enumeration Date
Apr 23, 2010
Last Updated
Apr 23, 2010

Practice Location

Address
621 N MAIN ST
Address 2
SUITE 200
State
Texas
ZIP Code
76051-9213
Phone
(817) 886-5777

Authorized Official

Name
SHERI LEE GOLLY, LCSW
Title
OWNER
Phone
(817) 886-5777

Specialties & Taxonomy Codes

Specialty
Social Worker - ClinicalClinical

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