| Doctor Name: | DR. LISA MARIE COLLINS |
| NPI Number: | 1356442214 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PH.D., LCPC |
| License Number: | 1306 |
| Business Practice Address: | 129 Village Dr Suite 303 Belgrade, MT - 597149618 |
| Business Phone Number: | 4063887183 |
| Business Fax Number: | |
| Mailing Address: | 288 West River Rock Drive, BELGRADE |
| State: | MT |
| Postal Code: | 59714 |
| Phone Number: | 4065997994 |
| Fax Number: | |
| NPI Enumeration Date: | 09/25/2006 |
| NPI Last Update Date: | 06/17/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | 1306 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MT |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |