| Main Street Counseling Center, Llc | |
|
621 N Main St Suite 200 Grapevine TX 76051-9213 | |
| (817) 886-5777 | |
| (817) 421-1950 |
| Full Name | Main Street Counseling Center, Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 621 N Main St, Grapevine, Texas |
| Authorized Official Name and Position | Sheri Lee Golly (OWNER) |
| Authorized Official Contact | 8178865777 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Main Street Counseling Center, Llc 621 N Main St Suite 200 Grapevine TX 76051-9213 Ph: (817) 886-5777 | Main Street Counseling Center, Llc 621 N Main St Suite 200 Grapevine TX 76051-9213 Ph: (817) 886-5777 |
| NPI Number | 1609193002 |
|---|---|
| Provider Enumeration Date | 04/23/2010 |
| Last Update Date | 04/23/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609193002 | NPI | - | NPPES |
| 063955102 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 16044 (Texas) | Primary |
At4k Texas Providers Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1100 S Main St Ste 103, Grapevine, TX 76051 Phone: 817-310-5510 | |
Beautiful Minds Counseling Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2311 Mustang Dr Ste 300, Grapevine, TX 76051 Phone: 469-844-1216 Fax: 219-736-3896 | |
Shawn Boggs Counseling, Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 601 S Main St, Suite 212, Grapevine, TX 76051 Phone: 817-410-4772 Fax: 817-410-4773 | |
Munay Heart Center Counseling, Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1135 S Main Street, Grapevine, TX 76051 Phone: 469-845-9448 | |
Samuel J. Roberts And Associates Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 206 E College St, Ste A-100, Grapevine, TX 76051 Phone: 817-424-5157 Fax: 817-424-1766 | |
Grapevine Counseling Center, Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 923 S Church St, Grapevine, TX 76051 Phone: 817-778-9071 |