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General NPI Number Information
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NPI Number | 1174017735
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Entity Type | Individual
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Provider Name | ANNE-MARIE COLLINS MS, LMHC, ATR
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Gender | Female
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Dates
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Enumeration Date | 06/18/2018
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Last Update Date | 08/15/2021
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Provider Practice Location Address
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Address Line | 913 GULF BREEZE PKWY STE 26A
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City | GULF BREEZE
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State | FL
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Zip | 32561-4731
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Country | US
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Telephone | 850-972-1191
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Fax |
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Provider Business Mailing Address
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Address Line | 1018 MAGNOLIA LN
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City | GULF BREEZE
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State | FL
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Zip | 32563-5326
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Country | US
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Telephone | 850-490-1961
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 221700000X
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Taxonomy Name | Art Therapist
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License Number | 11-250
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License Number State |
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | MH19238
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License Number State | FL
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