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NPI Code Detail

MEDICARE: HALEY COLLINS

MEDICARE: HALEY 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
1101YM0800XMental Health Counselor
2101YP2500XProfessional Counselor91696TX

General Provider Information

NPI Number : 1194586743
Entity Type Code : Individual
Provider Name (Legal Business Name) : HALEY COLLINS
Provider Business Mailing Address
First Line : 900 GORDON HTS APT 173
Second Line :
City : FRISCO
State : TX
Zip : 75033-5462
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 4100 ALPHA RD STE 1150
Second Line :
City : DALLAS
State : TX
Zip : 75244-4335
Country : US
Telephone Number : 972-503-9206
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/22/2024
Last Update Date : 04/02/2025

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Directions to “ HALEY COLLINS ” Practice Location

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