Individual
TRICIA LANE COLLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
400 GRANT ST SE # A2, DECATUR, AL 35601-3004
(256) 341-0811
(256) 341-9358
Mailing address
PO BOX 988, DECATUR, AL 35602-0988
(256) 341-0811
(256) 341-9358
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
377
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
51131327
BCBS
AL
01
—
600860911
MAGELLAN
AL
01
—
846792
VALUE OPTIONS
AL
Enumeration date
11/19/2012
Last updated
10/04/2018
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