DEAVON LYNETTE COLLINS LPC-IT NPI 1588125546

NPI Information

NPI: 1588125546
Provider Name: DEAVON LYNETTE COLLINS, LPC-IT
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
4906 W FOND DU LAC AVE
MILWAUKEE, WI
ZIP 53216
Phone: (414) 270-4670
Get Directions

Deavon Lynette Collins, LPC-IT is a mental health counselor in Milwaukee, WI. Deavon Lynette Collins, LPC-IT NPI is 1588125546. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

4906 W FOND DU LAC AVE
MILWAUKEE, WI
ZIP 53216-325
Phone: (414) 270-4670

The enumeration date for this NPI number is 3/30/2019 and was last updated on 3/30/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YM0800X	Counselor	Mental Health	4259	WISCONSIN	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	4259	OTHER	WISCONSIN	LPC-IT

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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