Provider Demographics
NPI:1780386946
Name:COLLINS, BRIANA LEE (LMHC)
Entity type:Individual
Prefix:MRS
First Name:BRIANA
Middle Name:LEE
Last Name:COLLINS
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:188 SUMMERFIELD ST STE 1
Mailing Address - Street 2:
Mailing Address - City:SCARSDALE
Mailing Address - State:NY
Mailing Address - Zip Code:10583-5480
Mailing Address - Country:US
Mailing Address - Phone:551-501-9203
Mailing Address - Fax:
Practice Address - Street 1:188 SUMMERFIELD ST STE 1
Practice Address - Street 2:
Practice Address - City:SCARSDALE
Practice Address - State:NY
Practice Address - Zip Code:10583-5480
Practice Address - Country:US
Practice Address - Phone:551-501-9203
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-03-21
Last Update Date:2023-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY013197101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health