Individual
KELLEY COLLINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
2023 W HOUSTON WAY, MEMPHIS, TN 38139-6933
(347) 633-0494
Mailing address
2023 W HOUSTON WAY, MEMPHIS, TN 38139-6933
(347) 633-0494
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
4301
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
58-1054331
FAMILIES FIRST
GA
Enumeration date
12/20/2017
Last updated
03/13/2024
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