| Doctor Name: | TRACI P COLLINS |
| NPI Number: | 1528338498 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LPCA, NCC |
| License Number: | A8880 |
| Business Practice Address: | 5603 New Garden Village Dr # B Greensboro, NC - 274108595 |
| Business Phone Number: | 3362728090 |
| Business Fax Number: | 3362720094 |
| Mailing Address: | 400 Springtime Dr, GREENSBORO |
| State: | NC |
| Postal Code: | 274092222 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 01/09/2012 |
| NPI Last Update Date: | 02/05/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101Y00000X |
| License Number: | A8880 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NC |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |