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General NPI Number Information
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NPI Number | 1700835352
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Entity Type | Individual
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Provider Name | EDDIE LEE COLLINS JR. LMHC
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Gender | Male
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Dates
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Enumeration Date | 05/10/2006
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Last Update Date | 01/30/2025
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Provider Practice Location Address
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Address Line | 1437 S BELCHER RD
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City | CLEARWATER
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State | FL
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Zip | 33764-2829
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Country | US
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Telephone | 727-524-4464
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Fax | 727-538-7272
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Provider Business Mailing Address
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Address Line | 4143 DAY BRIDGE PL
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City | ELLENTON
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State | FL
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Zip | 34222-7236
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Country | US
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Telephone | 941-348-4059
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | MH-8552
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License Number State | FL
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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 | MH8552
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | MH 8552
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License Number State | FL
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