Provider Demographics
NPI:1932917903
Name:COLLINS, HAILEY CHEYENNE (PLPC)
Entity type:Individual
Prefix:
First Name:HAILEY
Middle Name:CHEYENNE
Last Name:COLLINS
Suffix:
Gender:F
Credentials:PLPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:444 FURMAN DR
Mailing Address - Street 2:
Mailing Address - City:KENNER
Mailing Address - State:LA
Mailing Address - Zip Code:70065-4135
Mailing Address - Country:US
Mailing Address - Phone:662-721-7746
Mailing Address - Fax:
Practice Address - Street 1:3939 HOUMA BLVD STE 15
Practice Address - Street 2:
Practice Address - City:METAIRIE
Practice Address - State:LA
Practice Address - Zip Code:70006-2921
Practice Address - Country:US
Practice Address - Phone:504-229-2683
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-12-23
Last Update Date:2024-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health