MEDICARE: COLLIER COUNSELING AND LIFE COACHING LLC

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	106H00000X	Marriage & Family Therapist	01077	NV

General Provider Information

NPI Number	:	1376868802
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	COLLIER COUNSELING AND LIFE COACHING LLC

Provider Business Mailing Address
First Line	:	1481 W WARM SPRINGS RD STE 130
Second Line	:
City	:	HENDERSON
State	:	NV
Zip	:	89014-7636
Country	:	US
Telephone Number	:	702-860-5249
Fax Number	:

Provider Business Practice Location Address
First Line	:	1481 W WARM SPRINGS RD STE 130
Second Line	:
City	:	HENDERSON
State	:	NV
Zip	:	89014-7636
Country	:	US
Telephone Number	:	702-860-5249
Fax Number	:

Authorized Official
Title or Position	:	THERAPIST/OWNER
Name	:	SHERRI COLLIER
Credential	:	M.S., LMFT
Telephone Number	:	702-860-5249

Provider Enumeration Date	:	03/26/2010
Last Update Date	:	03/26/2010

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