MEDICARE: LEAH COLLINS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor		PA

General Provider Information

NPI Number	:	1043616410
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LEAH COLLINS

Provider Business Mailing Address
First Line	:	836 RUNDALE AVE
Second Line	:
City	:	YEADON
State	:	PA
Zip	:	19050-3617
Country	:	US
Telephone Number	:	267-444-8758
Fax Number	:

Provider Business Practice Location Address
First Line	:	1120 W TOWNSHIP LINE RD STE 101
Second Line	:
City	:	HAVERTOWN
State	:	PA
Zip	:	19083-4930
Country	:	US
Telephone Number	:	267-571-0383
Fax Number	:	267-285-1994

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/13/2014
Last Update Date	:	10/27/2025

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