Provider Demographics
NPI:1144840539
Name:COLLINS, TONETTA M (MSW)
Entity type:Individual
Prefix:MS
First Name:TONETTA
Middle Name:M
Last Name:COLLINS
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2048 LAWRENCEVILLE HWY UNIT 33771
Mailing Address - Street 2:
Mailing Address - City:DECATUR
Mailing Address - State:GA
Mailing Address - Zip Code:30033-6207
Mailing Address - Country:US
Mailing Address - Phone:678-315-3482
Mailing Address - Fax:
Practice Address - Street 1:1900 THE EXCHANGE, BLDG 100
Practice Address - Street 2:SUITE 180
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30339-3033
Practice Address - Country:US
Practice Address - Phone:770-575-9393
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-04-25
Last Update Date:2020-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
No1041S0200XBehavioral Health & Social Service ProvidersSocial WorkerSchool