Mrs Shirley Yvonne Collins-clark, LCDC, ADC - Counselor in Richmond, TX

Mrs Shirley Yvonne Collins-clark, LCDC, ADC is a Counselor - Addiction (substance Use Disorder) based in Richmond, Texas. Mrs Shirley Yvonne Collins-clark is licensed to practice in Texas (license number 11492-0917) and her current practice location is 400 Austin St, Richmond, Texas. She can be reached at her office (for appointments etc.) via phone at (281) 633-3195.

NPI number for Mrs Shirley Yvonne Collins-clark is 1528560182 and her current mailing address is 400 Austin St, Richmond, Texas. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1528560182.

Contact Information

Mrs Shirley Yvonne Collins-clark, LCDC, ADC
400 Austin St,
Richmond, TX 77469-4406
(281) 633-3195
Not Available

Map and Direction


Healthcare Provider's Profile

Full NameMrs Shirley Yvonne Collins-clark
GenderFemale
SpecialityCounselor - Addiction (substance Use Disorder)
Location400 Austin St, Richmond, Texas
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1528560182
  • Provider Enumeration Date: 02/28/2018
  • Last Update Date: 02/28/2018

Medical Identifiers

Medical identifiers for Mrs Shirley Yvonne Collins-clark such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1528560182NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YA0400XCounselor - Addiction (substance Use Disorder) 11492-0917 (Texas)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Shirley Yvonne Collins-clark is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mrs Shirley Yvonne Collins-clark, LCDC, ADC
400 Austin St,
Richmond, TX 77469-4406

Ph: (281) 633-3195
Mrs Shirley Yvonne Collins-clark, LCDC, ADC
400 Austin St,
Richmond, TX 77469-4406

Ph: (281) 633-3195

Reviews and Comments


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