| Collins Services & Management Llc | |
|
107 S Gaines St Ste 105 Ennis TX 75119-4612 | |
| (469) 337-7152 | |
| (972) 875-3808 |
| Full Name | Collins Services & Management Llc |
|---|---|
| Speciality | Counselor |
| Location | 107 S Gaines St Ste 105, Ennis, Texas |
| Authorized Official Name and Position | Dana R Collins (OWNER) |
| Authorized Official Contact | 4693377152 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Collins Services & Management Llc Po Box 263 Ennis TX 75120-0263 Ph: (469) 337-7152 | Collins Services & Management Llc 107 S Gaines St Ste 105 Ennis TX 75119-4612 Ph: (469) 337-7152 |
| NPI Number | 1952664203 |
|---|---|
| Provider Enumeration Date | 06/21/2012 |
| Last Update Date | 06/21/2012 |
| Medicare PECOS PAC ID | 1456795392 |
|---|---|
| Medicare Enrollment ID | O20240219001987 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952664203 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 18276 (Texas) | Primary |
| Provider Name | Dana Renee Collins |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1104981299 PECOS PAC ID: 2365886207 Enrollment ID: I20240219002275 |
| Provider Name | Molly D Barlow |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1033974571 PECOS PAC ID: 9537507827 Enrollment ID: I20240405000598 |
| Provider Name | Kristen S Pike |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1619655438 PECOS PAC ID: 4385082692 Enrollment ID: I20240405001340 |
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