Healthcare Provider Details

I. General information

NPI: 1255952743
Provider Name (Legal Business Name): COLLIER COUNSELING CENTER LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/06/2020
Last Update Date: 12/28/2025
Certification Date: 12/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1927 N TREKELL RD STE D
CASA GRANDE AZ
85122-1762
US

IV. Provider business mailing address

1927 N TREKELL RD STE D STE D
CASA GRANDE AZ
85122-1762
US

V. Phone/Fax

Practice location:
  • Phone: 520-876-9714
  • Fax: 520-876-5154
Mailing address:
  • Phone: 520-876-9714
  • Fax: 520-876-5154

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QH0100X
TaxonomyHealth Service Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: ANNETTE COLLIER
Title or Position: OWNER
Credential: M.S, LISAC, NCC
Phone: 520-876-9714