DR. MALISSA YVETTE COLLINS (NPI# 1265083489) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265083489 |
| Entity Type | Individual |
| Full Name | DR. MALISSA YVETTE COLLINS |
| Credential | LPC |
| Practice Address |
728 Spotswood Dr Evans GA 30809-5493 |
| Practice Telephone | 7068293370 |
| Practice Fax Number | 7068686275 |
| Mailing Telephone | 7068293370 |
| Mailing Fax Number | 7068686275 |
| Enumeration Date | 2019-09-28 |
| Last Update Date | 2019-09-28 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
LPC010995 | GA | Behavioral Health & Social Service Providers |
| Street Address |
728 SPOTSWOOD DR |
| City | EVANS |
| State | GA |
| Zip Code | 30809-5493 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326674060 | Dominion Behavioral Health Services LLC | Psychiatric Unit | 817 Prairie Lane, Evans, GEORGIA 30809 | 2020-03-13 |
| 1710478102 | Georgia Dental Professionals, PC | Dentist | 5131 Washington Rd, Evans, GA 30809 | 2018-05-22 |
| 1649770678 | Angel Legare | Physician Assistant | 404 Town Park Blvd Ste 101, Evans, GA 30809 | 2018-02-16 |
| 1952829541 | Felicia Evette Rhodes | Home Health Aide | 715 Jones Creek, Evans, GA 30809 | 2017-09-02 |
| 1659733582 | Patricia J. Stewart Lpc, LLC | Counselor | 465 N. Belair Rd. Ste 2d, Evans, GA 30809 | 2016-03-21 |
| 1114306727 | John Mccaskey | Family Medicine | 465 N Belair Rd Ste 1b, Evans, GA 30809 | 2015-05-28 |
| 1053702878 | Jennifer Wahl | Assistant Behavior Analyst | 1135 Waltons Pass, Evans, GA 30809 | 2015-02-16 |
| 1609298777 | Custom Pharmacy, Inc | Pharmacy | 1202 Town Park Lane, Suite 200, Evans, GA 30809 | 2014-01-09 |
| 1457797938 | Perfect Health Always On Call, LLC | Non-Pharmacy Dispensing Site | 4244 Washington Rd, Evans, GA 30809 | 2013-05-11 |
| 1417207119 | Tommy Battle | Respiratory Therapist, Registered | 101 Pond View, Evans, GA 30809 | 2012-09-11 |
| Find all providers in zip 30809 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992323430 | Samantha Poncere Daniels | Counselor | 4573 Cox Rd Ste B, Evans, GA 30809-3449 | 2020-07-10 |
| 1124683750 | Jamie Lewis Cox | Counselor | 427 N Belair Rd Ste C, Evans, GA 30809-3003 | 2019-05-09 |
| 1295229177 | Meagan Elan Hawes Bright | Counselor | 203 Sparrowhawk Ln, Evans, GA 30809-8801 | 2018-06-14 |
| 1659733582 | Patricia J. Stewart Lpc, LLC | Counselor | 465 N. Belair Rd. Ste 2d, Evans, GA 30809 | 2016-03-21 |
| 1093182594 | Benedicta N Ejindu | Counselor | 5125 Wells Dr, Evans, GA 30809-7057 | 2015-09-01 |
| 1336525542 | Brandon Thoma | Counselor | 229 Dry Creek Rd, Evans, GA 30809-3013 | 2015-08-11 |
| 1568850345 | Christy H. Dunn, LLC | Counselor | 4325 Washington Rd Ste 112, Evans, GA 30809-3966 | 2015-01-02 |
| 1134521446 | Janelle Quinn | Counselor | 2448 Sunflower Dr, Evans, GA 30809-6452 | 2014-09-17 |
| 1316355936 | Diana Hess | Counselor | 4325 Washington Rd Ste 101, Evans, GA 30809-3966 | 2014-07-28 |
| 1508152604 | Dameon Kristen Clay | Counselor | 4485 Sugarberry Ct, Evans, GA 30809-4489 | 2011-06-27 |
| Find all providers in EVANS | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.