Provider Demographics
NPI:1417653668
Name:COLLIER COUNSELING CENTER NP
Entity Type:Organization
Organization Name:COLLIER COUNSELING CENTER NP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT / C.E.O.
Authorized Official - Prefix:
Authorized Official - First Name:ANNETTE
Authorized Official - Middle Name:M
Authorized Official - Last Name:COLLIER
Authorized Official - Suffix:
Authorized Official - Credentials:MS, LISAC, NCC
Authorized Official - Phone:520-876-9714
Mailing Address - Street 1:1927 N TREKELL RD STE D
Mailing Address - Street 2:
Mailing Address - City:CASA GRANDE
Mailing Address - State:AZ
Mailing Address - Zip Code:85122-1762
Mailing Address - Country:US
Mailing Address - Phone:520-876-9714
Mailing Address - Fax:520-876-5154
Practice Address - Street 1:1927 N TREKELL RD STE D
Practice Address - Street 2:
Practice Address - City:CASA GRANDE
Practice Address - State:AZ
Practice Address - Zip Code:85122-1762
Practice Address - Country:US
Practice Address - Phone:520-876-9714
Practice Address - Fax:520-876-5154
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:COLLIER COUNSELING CENTER
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2023-01-31
Last Update Date:2023-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Multi-Specialty