Provider Demographics
NPI:1801947551
Name:COLLINS, LINDA M (LMHC)
Entity type:Individual
Prefix:MS
First Name:LINDA
Middle Name:M
Last Name:COLLINS
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:MS
Other - First Name:LINDA
Other - Middle Name:M
Other - Last Name:MCGRATH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMHC
Mailing Address - Street 1:54 NONSET PATH
Mailing Address - Street 2:
Mailing Address - City:ACTON
Mailing Address - State:MA
Mailing Address - Zip Code:01720-3418
Mailing Address - Country:US
Mailing Address - Phone:978-263-2700
Mailing Address - Fax:978-264-9899
Practice Address - Street 1:54 NONSET PATH
Practice Address - Street 2:
Practice Address - City:ACTON
Practice Address - State:MA
Practice Address - Zip Code:01720-3418
Practice Address - Country:US
Practice Address - Phone:978-263-2700
Practice Address - Fax:978-264-9899
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-16
Last Update Date:2011-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA5694101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health