Provider Demographics
NPI:1285380824
Name:COLLIER, LOISMAY ROSARIA (LMHC)
Entity type:Individual
Prefix:
First Name:LOISMAY
Middle Name:ROSARIA
Last Name:COLLIER
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 1:2319 S HIGHWAY 77 UNIT 436
Mailing Address - Street 2:
Mailing Address - City:LYNN HAVEN
Mailing Address - State:FL
Mailing Address - Zip Code:32444-7719
Mailing Address - Country:US
Mailing Address - Phone:850-381-4237
Mailing Address - Fax:
Practice Address - Street 1:114 AIRPORT RD STE A
Practice Address - Street 2:
Practice Address - City:PANAMA CITY
Practice Address - State:FL
Practice Address - Zip Code:32405-4738
Practice Address - Country:US
Practice Address - Phone:850-343-5225
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-02-22
Last Update Date:2022-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL20350101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health