Provider Demographics
NPI:1346711181
Name:COLLINS FAMILY SERVICES, PLLC
Entity Type:Organization
Organization Name:COLLINS FAMILY SERVICES, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:SKY
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:COLLINS
Authorized Official - Suffix:
Authorized Official - Credentials:LMSW
Authorized Official - Phone:501-270-4011
Mailing Address - Street 1:301 W SEARCY ST
Mailing Address - Street 2:
Mailing Address - City:HEBER SPRINGS
Mailing Address - State:AR
Mailing Address - Zip Code:72543-3840
Mailing Address - Country:US
Mailing Address - Phone:501-270-4011
Mailing Address - Fax:501-207-0436
Practice Address - Street 1:301 W SEARCY ST
Practice Address - Street 2:
Practice Address - City:HEBER SPRINGS
Practice Address - State:AR
Practice Address - Zip Code:72543-3840
Practice Address - Country:US
Practice Address - Phone:501-270-4011
Practice Address - Fax:501-207-0436
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-12-05
Last Update Date:2018-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty
No104100000XBehavioral Health & Social Service ProvidersSocial WorkerGroup - Multi-Specialty