Angelique Alexis Collins, CAC-AD is a
Psychologist - Addiction (substance Use Disorder) based in Baltimore, Maryland. Angelique Alexis Collins is licensed to practice in Maryland (license number AC2837) and her current practice location is
821 N Eutaw St, Baltimore, Maryland. She can be reached at her office (for appointments etc.) via phone at
(410) 225-9185.
NPI number for Angelique Alexis Collins is 1619667573 and her current mailing address is 821 N Eutaw St, Baltimore, Maryland. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1619667573.
Healthcare Provider's Profile
Full Name | Angelique Alexis Collins |
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Gender | Female |
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Speciality | Psychologist - Addiction (substance Use Disorder) |
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Location | 821 N Eutaw St, Baltimore, Maryland |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1619667573
- Provider Enumeration Date: 05/12/2023
- Last Update Date: 05/12/2023
Medical Identifiers
Medical identifiers for Angelique Alexis Collins such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1619667573 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YA0400X | Counselor - Addiction (substance Use Disorder) | AC2837 (Maryland) | Secondary |
101YP2500X | Counselor - Professional | AC2837 (Maryland) | Secondary |
103TA0400X | Psychologist - Addiction (substance Use Disorder) | AC2837 (Maryland) | 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. Angelique Alexis Collins 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 Address | Practice Location Address |
Angelique Alexis Collins, CAC-AD 821 N Eutaw St, Baltimore, MD 21201-4648 Ph: (410) 225-9185 | Angelique Alexis Collins, CAC-AD 821 N Eutaw St, Baltimore, MD 21201-4648 Ph: (410) 225-9185 |
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