Provider Demographics
NPI:1326116997
Name:WILLIAMSON COLLINS, SHELIA DIANA (PHD, LCMHC, LCAS)
Entity Type:Individual
Prefix:MS
First Name:SHELIA
Middle Name:DIANA
Last Name:WILLIAMSON COLLINS
Suffix:
Gender:F
Credentials:PHD, LCMHC, LCAS
Other - Prefix:MRS
Other - First Name:SHELIA
Other - Middle Name:DIANA
Other - Last Name:TAFFE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MA, LPC, LCAS
Mailing Address - Street 1:135 WELLINGTON DR
Mailing Address - Street 2:
Mailing Address - City:HAMLET
Mailing Address - State:NC
Mailing Address - Zip Code:28345-8001
Mailing Address - Country:US
Mailing Address - Phone:910-417-8794
Mailing Address - Fax:910-557-1153
Practice Address - Street 1:225 S HANCOCK ST STE E
Practice Address - Street 2:
Practice Address - City:ROCKINGHAM
Practice Address - State:NC
Practice Address - Zip Code:28379-3679
Practice Address - Country:US
Practice Address - Phone:910-417-8794
Practice Address - Fax:910-557-1153
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-01
Last Update Date:2023-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC21619101YA0400X
IL178004533101YM0800X
NC212906101YP2500X
NC10148101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional