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NPI 1841909645

NPI 1841909645 : HARRY S. COLLINS LICSW : GREENVILLE, RI

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General NPI Number Information
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    NPI Number           |    1841909645
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    Entity Type          |    Individual 
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    Provider Name        |    HARRY S. COLLINS LICSW
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    11/21/2022
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    Last Update Date     |    07/23/2025
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Provider Practice Location Address
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    Address Line         |    7 AUSTIN AVE 
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    City                 |    GREENVILLE
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    State                |    RI
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    Zip                  |    02828-1520
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    Country              |    US
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    Telephone            |    401-349-3131
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    Fax                  |    401-921-5109
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Provider Business Mailing Address
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    Address Line         |    30 WESTGATE RD 
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    City                 |    CHESTNUT HILL
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    State                |    MA
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    Zip                  |    02467-3418
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    Country              |    US
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    Telephone            |    518-727-0619
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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        |    101YM0800X
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    Taxonomy Name        |    Mental Health Counselor
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    License Number       |    228428
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    License Number State |    MA
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Taxonomy #2
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    Taxonomy Code        |    1041C0700X
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    Taxonomy Name        |    Clinical Social Worker
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    License Number       |    ISW04407
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    License Number State |    RI
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