Provider Demographics
NPI:1952035529
Name:COLLINS, ERIN (MA, NCC, BC-TMH, LPC)
Entity Type:Individual
Prefix:
First Name:ERIN
Middle Name:
Last Name:COLLINS
Suffix:
Gender:F
Credentials:MA, NCC, BC-TMH, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3914 SAINT IVES RD UNIT 1428
Mailing Address - Street 2:
Mailing Address - City:MYRTLE BEACH
Mailing Address - State:SC
Mailing Address - Zip Code:29588-1154
Mailing Address - Country:US
Mailing Address - Phone:843-294-0646
Mailing Address - Fax:
Practice Address - Street 1:141 MCDONALD CT
Practice Address - Street 2:
Practice Address - City:MYRTLE BEACH
Practice Address - State:SC
Practice Address - Zip Code:29588-6134
Practice Address - Country:US
Practice Address - Phone:843-294-0646
Practice Address - Fax:843-294-0318
Is Sole Proprietor?:Yes
Enumeration Date:2022-07-11
Last Update Date:2022-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC7686101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health