Provider Demographics
NPI:1497572291
Name:COLLIN TESTING AND PSYCHOLOGICAL SERVICES PLLC
Entity type:Organization
Organization Name:COLLIN TESTING AND PSYCHOLOGICAL SERVICES PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:BRIAN
Authorized Official - Middle Name:GEORGE
Authorized Official - Last Name:COLLIN
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:828-630-9347
Mailing Address - Street 1:128 MARATHON LN
Mailing Address - Street 2:
Mailing Address - City:CANDLER
Mailing Address - State:NC
Mailing Address - Zip Code:28715-0717
Mailing Address - Country:US
Mailing Address - Phone:704-890-3760
Mailing Address - Fax:
Practice Address - Street 1:1796 HENDERSONVILLE RD STE M
Practice Address - Street 2:
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28803-2499
Practice Address - Country:US
Practice Address - Phone:828-630-9347
Practice Address - Fax:828-202-3231
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-09-23
Last Update Date:2025-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)