Provider Demographics
NPI:1881607307
Name:COLLIER, RICHARD A (LPC)
Entity type:Individual
Prefix:
First Name:RICHARD
Middle Name:A
Last Name:COLLIER
Suffix:
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5709 5TH ST
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77493-1917
Mailing Address - Country:US
Mailing Address - Phone:281-392-5666
Mailing Address - Fax:281-465-9291
Practice Address - Street 1:5709 5TH ST
Practice Address - Street 2:
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77493-1917
Practice Address - Country:US
Practice Address - Phone:281-392-5666
Practice Address - Fax:281-465-9291
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-14
Last Update Date:2012-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX15345101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
164601OtherVALUE OPTIONS ID
TX148115OtherCOMPSYCH PROVIDER ID
TX095954601Medicaid
TX206990OtherMHN PROVIDER ID
TX5117LCOtherBCBS PROVIDER ID