Collins, Gary Tyrone
Collins, Gary Tyrone is an individual health care provider with primary practice located at 787 Virginia Ave , Welch WV 24801-2341. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is his primary health care specialty. Collins, Gary Tyrone can be contacted via phone (304) 436-2106.Contact Information
Primary practice address
787 Virginia Ave
Welch WV 24801-2341
Phone: (304) 436-2106
Fax: (304) 436-6362
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 02-322 | West Virginia |
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 1528 | West Virginia |
Profile Details
| NPI number | 1639107329 |
|---|---|
| LBN Legal business name | Collins, Gary Tyrone |
| Credentials | MSW, LPC, CCAC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 29th, 2006 |
| Last updated | Jul 8th, 2007 - about 18 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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