Collins, Eddie Lee

Collins, Eddie Lee is an individual health care provider with primary practice located at 4143 Day Bridge Pl , Ellenton FL 34222-7236. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Mental Health is his primary health care specialty. Collins, Eddie Lee can be contacted via phone (941) 348-4059.

Contact Information

Primary practice address
4143 Day Bridge Pl Ellenton FL 34222-7236
Phone: (941) 348-4059
Fax: (418) 034-2159
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X MH8552 Florida
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X MH-8552 Florida
Behavioral Health & Social Service Providers / Mental Health 101YM0800X MH 8552 Florida

Profile Details

NPI number 1700835352
LBN Legal business name Collins, Eddie Lee
Credentials LMHC
Entity Individual
Sole proprietor 1 No
Enumeration date May 10th, 2006
Last updated May 25th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1700835352 NPPES
Florida MEDICAID 756291800
Florida MEDICAID 767380900

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