Provider Demographics
NPI:1992163042
Name:TALEEA COLLINS INC.
Entity type:Organization
Organization Name:TALEEA COLLINS INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SPECIAL INSTRUCTOR/ SPEECH TEACHER
Authorized Official - Prefix:MS
Authorized Official - First Name:TALEEA
Authorized Official - Middle Name:LESLIE
Authorized Official - Last Name:COLLINS
Authorized Official - Suffix:
Authorized Official - Credentials:TSHH
Authorized Official - Phone:917-482-2887
Mailing Address - Street 1:55 W 116TH ST # 132
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10026-2508
Mailing Address - Country:US
Mailing Address - Phone:917-482-2887
Mailing Address - Fax:
Practice Address - Street 1:55 W 116TH ST # 132
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10026-2508
Practice Address - Country:US
Practice Address - Phone:917-482-2887
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-02-03
Last Update Date:2016-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY116785021252Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency