Provider Demographics
NPI:1306932744
Name:COLLINS, AMALIA (LPC LMFT ATR-BC)
Entity type:Individual
Prefix:
First Name:AMALIA
Middle Name:
Last Name:COLLINS
Suffix:
Gender:F
Credentials:LPC LMFT ATR-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2750 W VIRGINIA PARKWAY
Mailing Address - Street 2:#108
Mailing Address - City:MCKINNEY
Mailing Address - State:TX
Mailing Address - Zip Code:75071
Mailing Address - Country:US
Mailing Address - Phone:972-542-8144
Mailing Address - Fax:972-548-9891
Practice Address - Street 1:2750 W VIRGINIA PARKWAY
Practice Address - Street 2:#108
Practice Address - City:MCKINNEY
Practice Address - State:TX
Practice Address - Zip Code:75071
Practice Address - Country:US
Practice Address - Phone:972-542-8144
Practice Address - Fax:972-548-9891
Is Sole Proprietor?:No
Enumeration Date:2006-10-05
Last Update Date:2016-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX19441101YP2500X
TX200843106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional