Healthcare Provider Details

I. General information

NPI: 1073716213
Provider Name (Legal Business Name): BARBARA LYNNE COLLINS MS, NCC, LCPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/06/2007
Last Update Date: 03/12/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2600 SOLOMONS ISLAND RD
EDGEWATER MD
21037-1102
US

IV. Provider business mailing address

706 LINDEN GROVE PL APT 303
ODENTON MD
21113-2708
US

V. Phone/Fax

Practice location:
  • Phone: 443-433-5949
  • Fax: 410-841-6045
Mailing address:
  • Phone: 410-703-7289
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YP1600X
TaxonomyPastoral Counselor
License NumberLC1233
License Number StateMD
# 2
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberLC1233
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: