Collins, Dwayne
Collins, Dwayne is an sole proprietor health care provider with primary practice located at 250 W Southlake Blvd Ste. 202, Southlake TX 76092-6171. He recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as his primary health care specialty. Collins, Dwayne can be contacted via phone (817) 552-3111.Contact Information
Primary practice address
250 W Southlake Blvd Ste. 202
Southlake TX 76092-6171
Phone: (817) 552-3111
Fax: (817) 552-3501
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 20131 | Texas |
Profile Details
| NPI number | 1407833569 |
|---|---|
| LBN Legal business name | Collins, Dwayne |
| Credentials | MA, LPC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 29th, 2005 |
| Last updated | Jul 8th, 2007 - about 17 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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