Provider Demographics
NPI:1255971461
Name:COLLINS, ANNE (MA, ATR-P, LMHCA)
Entity type:Individual
Prefix:
First Name:ANNE
Middle Name:
Last Name:COLLINS
Suffix:
Gender:F
Credentials:MA, ATR-P, LMHCA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:941 E 86TH ST
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46240-1861
Mailing Address - Country:US
Mailing Address - Phone:312-371-9171
Mailing Address - Fax:
Practice Address - Street 1:941 E 86TH ST
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46240-1861
Practice Address - Country:US
Practice Address - Phone:312-371-9171
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-01-15
Last Update Date:2023-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN88001002A101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health