| NPI | 1083366629 |
|---|---|
| Former Legal Business Name | HEIDI COLLIER, LICSW LLC |
| Entity Type | Organization |
| Authorized Contact | HEIDI COLLIER Clinical Social Worker 334-456-8809 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X |
| Enumeration Date | 2022-01-25 |
| Last Update Date | 2022-01-25 |