Golly, Sheri L

Golly, Sheri L is an sole proprietor health care provider with primary practice located at 621 N Main St Suite 200, Grapevine TX 76051-9213. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Golly, Sheri L can be contacted via phone (817) 886-5777.

Contact Information

Primary practice address
621 N Main St Suite 200 Grapevine TX 76051-9213
Fax: (817) 421-1950
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 16044 Texas

Profile Details

NPI number 1851447015
LBN Legal business name Golly, Sheri L
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 28th, 2007
Last updated Apr 27th, 2010 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1851447015 NPPES
Texas MEDICAID 063955102

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