Collins, Michael D
Collins, Michael D is an sole proprietor health care provider with primary practice located at 141 S Mccormick St Ste 206L , Prescott AZ 86303-4729. He recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as his primary health care specialty. Collins, Michael D can be contacted via phone (928) 777-0386.Contact Information
Primary practice address
141 S Mccormick St Ste 206L
Prescott AZ 86303-4729
Phone: (928) 777-0386
Fax: (928) 445-8650
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | LPC12400 | Arizona |
Profile Details
| NPI number | 1225166085 |
|---|---|
| LBN Legal business name | Collins, Michael D |
| Credentials | MA, LPC, LISAC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 1st, 2007 |
| Last updated | May 9th, 2008 - about 16 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1225166085 | NPPES |
| Arizona | MEDICAID | 152770 |
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