Provider Demographics
NPI:1922753565
Name:COLLINS CONSUTATION SERVICES LLC.
Entity Type:Organization
Organization Name:COLLINS CONSUTATION SERVICES LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KARLA
Authorized Official - Middle Name:KAE
Authorized Official - Last Name:COLLINS
Authorized Official - Suffix:
Authorized Official - Credentials:MED, BCBA, LBA
Authorized Official - Phone:915-701-2583
Mailing Address - Street 1:11609 OCHRE BLUFF LN
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79934-2702
Mailing Address - Country:US
Mailing Address - Phone:915-701-2583
Mailing Address - Fax:915-701-2860
Practice Address - Street 1:11609 OCHRE BLUFF LN
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79934-2702
Practice Address - Country:US
Practice Address - Phone:915-701-2583
Practice Address - Fax:915-701-2860
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-02-11
Last Update Date:2022-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Multi-Specialty