Collins Youth Homes, Inc

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

567417 Issued in NC

Legal business name

COLLINS YOUTH HOMES, INC

Practice address

525 N Tryon St
Suite 1600
Charlotte, NC 28202-0202

Phone

(704) 773-2258

NPI assigned

Apr 8, 2010

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Jerard Collins

Title

President/Ceo

Phone

(704) 773-2258

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1270684800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1271289600000",
    "number": "1013233543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "525 N TRYON ST",
            "address_2": "SUITE 1600",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282020202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 N TRYON ST",
            "address_2": "SUITE 1600",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282020202",
            "telephone_number": "704-773-2258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLLINS YOUTH HOMES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-08",
        "last_updated": "2010-04-15",
        "status": "A",
        "authorized_official_last_name": "COLLINS",
        "authorized_official_first_name": "JERARD",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "704-773-2258",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NC",
            "license": "567417",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Misty L. Collier, LPA
• Charles Frederick Collin, M.D.
• Olivia Maureen Collington
• Leah Collingwood, LMBT
• Collins Counseling & Consulting PLLC
• Fametta Collins-Darling
• Alicia Maria Collins, LMFT
• Ann M Collins, SLP
• Ashley Brianna Collins
• Brandon Robert Collins

• Community/Behavioral Health Agency in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Community/Behavioral Health Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.