1558531772 NPI number — MS. DEBRA JEAN COLLINS M.A., LPC, LSOTP

Table of content: MS. HELENE BELANGER M.COUN (NPI 1699884338)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1558531772 NPI number — MS. DEBRA JEAN COLLINS M.A., LPC, LSOTP

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
COLLINS
Provider First Name:
DEBRA
Provider Middle Name:
JEAN
Provider Name Prefix Text:
MS.
Provider Name Suffix Text:
Provider Credential Text:
M.A., LPC, LSOTP
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
COLLINS
Provider Other First Name:
DEBRA
Provider Other Middle Name:
JEAN
Provider Other Name Prefix Text:
MS.
Provider Other Name Suffix Text:
Provider Other Credential Text:
M.A., LPC, LSOTP
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1558531772
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
03/04/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
10615 SAGEBRIAR DRIVE
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
HOUSTON
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
77089
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
281-685-4096
Provider Business Mailing Address Fax Number:
281-484-7449

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
10615 SAGEBRIAR DRIVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
HOUSTON
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
77089
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
281-685-4096
Provider Business Practice Location Address Fax Number:
281-484-7449
Provider Enumeration Date:
03/04/2008

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 101YM0800X , with the licence number:  19600 , registered in the state of TX ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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