Organization
COLLIN COUNTY MENTAL HEALTH MENTAL RETARDATION CENTER
Active
Other names
Collin County MHMR Center, LifePath Systems
Organization subpart
No
Provider details
NPI number
Authorized official
SHEELA ANTONY (DIRECTOR OF REVENUE CYCLE)
(469) 963-3655
Entity
Organization
Contact information
Practice address
1515 HERITAGE DR STE 105, MCKINNEY, TX 75069-3378
(972) 562-0190
(972) 665-0076
Mailing address
1515 HERITAGE DR STE 105, MCKINNEY, TX 75069-3378
(972) 562-0190
(972) 562-3647
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
—
101YP2500X
Professional Counselor
—
—
1041C0700X
Clinical Social Worker
—
—
106H00000X
Marriage & Family Therapist
—
—
2084P0800X
Psychiatry Physician
—
—
2084P0804X
Child & Adolescent Psychiatry Physician
—
—
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
251B00000X
Case Management Agency
—
TX
261QD1600X
Developmental Disabilities Clinic/Center
—
TX
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
3274 -3276
TX
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
084001901
—
TX
05
—
127377301
—
TX
05
—
127377302
—
TX
05
—
127377304
—
TX
05
—
127377305
—
TX
05
—
127377306
—
TX
01
—
GR410
GR-SERVICE COORDINATION
TX
Enumeration date
11/23/2005
Last updated
03/03/2026
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