L. EMBRY COLLINS JR. PHD P.C. NPI 1215169883

NPI Information

NPI: 1215169883
Provider Name: L. EMBRY COLLINS, JR., PHD, P.C.
Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

Address:
4530 S BERKELEY LAKE RD
SUITE B
NORCROSS, GA
ZIP 30071
Phone: (770) 446-5642
Get Directions

L. EMBRY COLLINS, JR., PHD, P.C. is a mental health (including community mental health center) clinic center in Norcross, GA. L. EMBRY COLLINS, JR., PHD, P.C. NPI is 1215169883. The provider is registered as an organization entity type.

The provider's business location address is:

4530 S BERKELEY LAKE RD
SUITE B
NORCROSS, GA
ZIP 30071-660
Phone: (770) 446-5642
Fax: (770) 446-5643

The provider's authorized official is Lewis Embry Collins .
The authorized official title is Psychologist and has the following contact phone number (770) 446-5642.

The enumeration date for this NPI number is 8/17/2009 and was last updated on 8/17/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)	PSY 0892	GEORGIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	000546356C	MEDICAID	GEORGIA
2	68BBCFG	MEDICARE UPIN	GEORGIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »