Provider Demographics
NPI:1588345235
Name:COLLINS, TOYA RENEE (LPC-A)
Entity type:Individual
Prefix:MRS
First Name:TOYA
Middle Name:RENEE
Last Name:COLLINS
Suffix:
Gender:F
Credentials:LPC-A
Other - Prefix:
Other - First Name:TOYA
Other - Middle Name:RENEE
Other - Last Name:JENKINS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:7311 PATTERSON RD APT C
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:SC
Mailing Address - Zip Code:29209-2673
Mailing Address - Country:US
Mailing Address - Phone:803-200-8742
Mailing Address - Fax:
Practice Address - Street 1:6439 GARNERS FERRY RD
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:SC
Practice Address - Zip Code:29209-1638
Practice Address - Country:US
Practice Address - Phone:803-776-4000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-07-26
Last Update Date:2023-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC8562101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health