Provider Demographics
NPI:1902110406
Name:COLLINS, BETTY BRIGMAN (LPC)
Entity Type:Individual
Prefix:
First Name:BETTY
Middle Name:BRIGMAN
Last Name:COLLINS
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1720 OAK VILLAGE BLVD
Mailing Address - Street 2:SUITE 200A
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76017-7952
Mailing Address - Country:US
Mailing Address - Phone:817-703-2737
Mailing Address - Fax:817-704-4672
Practice Address - Street 1:1720 OAK VILLAGE BLVD
Practice Address - Street 2:SUITE 200A
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76017-7952
Practice Address - Country:US
Practice Address - Phone:817-703-2737
Practice Address - Fax:817-704-4672
Is Sole Proprietor?:Yes
Enumeration Date:2010-07-27
Last Update Date:2010-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX13890101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional