Provider Demographics
NPI:1215819602
Name:COLLIER, MATASHIA MASHAY (LPC, LMSW)
Entity type:Individual
Prefix:
First Name:MATASHIA
Middle Name:MASHAY
Last Name:COLLIER
Suffix:
Gender:F
Credentials:LPC, LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3013 OLD HATLEY RD
Mailing Address - Street 2:
Mailing Address - City:CORDELE
Mailing Address - State:GA
Mailing Address - Zip Code:31015-8268
Mailing Address - Country:US
Mailing Address - Phone:229-938-8569
Mailing Address - Fax:
Practice Address - Street 1:1441 WOODMONT LN NW # 123
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30318-2866
Practice Address - Country:US
Practice Address - Phone:762-465-9438
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-24
Last Update Date:2025-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GALPC009631101YM0800X
GAMSW009841104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No104100000XBehavioral Health & Social Service ProvidersSocial Worker