MAIN STREET COUNSELING, LLC
NPI 1538596374
Counselor - Professional in Monroe, CT
Active since October 10, 2013
About Main Street Counseling, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MAIN STREET COUNSELING, LLC (NPI 1538596374) is a healthcare organization registered as a professional in Monroe, Connecticut and active in the NPI registry since October 2013. The organization lists Tara E Beall-gomes, Owner, as its authorized official.
NPPES Registry Identity
NPI1538596374
Entity TypeOrganization
Primary Taxonomy101YP2500X
Legal Business NameMAIN STREET COUNSELING, LLC
Location Address115 MAIN ST, UNIT 4Monroe, CT 06468-1662
Mailing Address115 Main St, Unit 4Monroe, CT 06468-1662 · (203) 449-7908 · Fax (203) 905-6752
Phone(203) 449-7908
Fax(203) 905-6752
Organization SubpartNo
Authorized OfficialTara E Beall-gomesOwner · (203) 449-7908
Enumeration DateOctober 10, 2013
Last NPPES UpdateMarch 10, 2017
✔ NPI 1538596374 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses 4
★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
Also ListedCounselorTaxonomy 101Y00000X
Also ListedCounselor · SchoolTaxonomy 101YS0200X
Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X
115 MAIN ST, Monroe, CT 06468
Group Practice 1
Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1538596374, enumerated as an "organization" on October 10, 2013.
The provider is located at 115 MAIN ST UNIT 4 MONROE, CT 06468 and the phone number is (203) 449-7908.
Counselor with taxonomy code 101YP2500X and a focus in Professional.