MAIN STREET COUNSELING CENTER, LLC
NPI 1609193002
Social Worker - Clinical in Grapevine, TX

Active since April 23, 2010
621 N MAIN ST, SUITE 200, GRAPEVINE, TX 76051(817) 886-5777(817) 421-1950 Get Directions Write a Review

NPPES record last updated: April 23, 2010. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Main Street Counseling Center, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MAIN STREET COUNSELING CENTER, LLC (NPI 1609193002) is a healthcare organization registered as a clinical in Grapevine, Texas and active in the NPI registry since April 2010. The organization lists Sheri Lee Golly, Owner, as its authorized official.

NPPES Registry Identity

NPI1609193002
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameMAIN STREET COUNSELING CENTER, LLC
Location Address621 N MAIN ST, SUITE 200Grapevine, TX 76051-9213
Mailing Address621 N Main St, Suite 200Grapevine, TX 76051-9213 · (817) 886-5777 · Fax (817) 421-1950
Fax(817) 421-1950
Organization SubpartNo
Authorized OfficialSheri Lee GollyOwner · (817) 886-5777
Enumeration DateApril 23, 2010
NPI 1609193002 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License Licensed in TX · 16044
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
621 N MAIN ST, Grapevine, TX 76051

Other Identifiers 1

Medicaid063955102TX

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Social Worker (Clinical)
621 N MAIN ST, SUITE 200
GRAPEVINE, TX 76051
Psychologist (Counseling)
621 N MAIN ST, #440
GRAPEVINE, TX 76051
Social Worker (Clinical)
621 N MAIN ST, SUITE 200
GRAPEVINE, TX 76051
Chiropractor
621 N MAIN ST, SUITE 415 & 440
GRAPEVINE, TX 76051

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Main Street Counseling Center, LLC's NPI number?

The NPI number for Main Street Counseling Center, LLC is 1609193002. It was assigned to this organization in the NPPES registry on April 23, 2010.

Where is Main Street Counseling Center, LLC located?

Main Street Counseling Center, LLC is located at 621 N Main St Suite 200, Grapevine, TX 76051. The listed phone number is (817) 886-5777.

What is Main Street Counseling Center, LLC's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

When was this NPI record last updated?

The NPPES record for Main Street Counseling Center, LLC was last updated on April 23, 2010. NPI Profile syncs with the weekly NPPES data releases published by CMS.