Collins, Sally Jane
Collins, Sally Jane is an sole proprietor health care provider with primary practice located at 190 N 10Th St Suite 301, Brooklyn NY 11211-9325. She recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as her primary health care specialty. Collins, Sally Jane can be contacted via phone (917) 861-7496.Contact Information
Primary practice address
190 N 10Th St Suite 301
Brooklyn NY 11211-9325
Phone: (917) 861-7496
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Marriage & Family Therapist | 106H00000X | 000853 | New York |
Profile Details
| NPI number | 1518264639 |
|---|---|
| LBN Legal business name | Collins, Sally Jane |
| Credentials | LMFT, MA, ATR |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 25th, 2011 |
| Last updated | Feb 25th, 2011 - about 15 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 | 1518264639 | NPPES |
| New York | Other | 000853 | MARRIAGE AND FAMILY THERAPY LICENSE ID NUMBER |
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