Provider Demographics
NPI:1225356769
Name:COLLINS, PEGGY LEE (BSW, AAPS)
Entity Type:Individual
Prefix:MS
First Name:PEGGY
Middle Name:LEE
Last Name:COLLINS
Suffix:
Gender:F
Credentials:BSW, AAPS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:613 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:NEODESHA
Mailing Address - State:KS
Mailing Address - Zip Code:66757-1632
Mailing Address - Country:US
Mailing Address - Phone:316-323-3841
Mailing Address - Fax:
Practice Address - Street 1:613 MAIN ST
Practice Address - Street 2:
Practice Address - City:NEODESHA
Practice Address - State:KS
Practice Address - Zip Code:66757-1632
Practice Address - Country:US
Practice Address - Phone:316-323-3841
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-05-07
Last Update Date:2010-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)