NPI age
16 years
Enumerated 2009-08-17
● Active Type 2 · Organization
L. Embry Collins, Jr., Phd, P.c.
L. Embry Collins, Jr., Phd, P.c. is 1 of 662 clinic/center organizations in Georgia.
Primary specialty
Clinic/Center
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Collins
Psychologist
Last NPPES update
2009-08-17
Source: monthly bulk 2026-05
How this organization compares
Across 662 active clinic/center providers in Georgia.
NPI age
16 years
↑ 11 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2009 → 2026
2009-08Enumerated in NPPES
2009
2026
Where they practice
Primary practice location
4530 S Berkeley Lake Rd, Suite B
Norcross, GA 300711660
Mailing address
4530 S Berkeley Lake Rd, Suite B
Norcross, GA 300711660
Authorized official
Lewis Embry Collins, PHD
Psychologist
📞 7704465642
Individual providers at this organization
4 individual providers on file at this primary practice address.
- Tara Boadu, PSY.D. Psychologist NPI 1497905863
- Darrin Bronfman, LCSW Social Worker NPI 1275618449
- Staci Bullard, LAPC Counselor NPI 1760725444
- Ying Ming Zhang, M.D. Psychiatry & Neurology NPI 1578587440
Specialties
-
Clinic/Center PrimaryDefinition to come...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 000546356C |
Practice context
Multi-provider organization. 4 individual providers on file at this primary address.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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