Individual
BEATRICE KOLLIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10607 SUNSWEPT FIELDS LN, HOUSTON, TX 77064-5136
(281) 948-7693
Mailing address
10607 SUNSWEPT FIELDS LN, HOUSTON, TX 77064-5136
(281) 948-7693
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
347B00000X
Bus
—
—
347C00000X
Private Vehicle
—
—
374U00000X
Home Health Aide
—
—
376K00000X
Nurse's Aide
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
15997047
DRIVER LICENSE
TX
01
—
173959
LVN LICENSE NUMBER
TX
Enumeration date
12/04/2015
Last updated
12/04/2015
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