Nicole Danielle Collins, is a
Community/behavioral Health based in Phoenix, Arizona. Nicole Danielle Collins is licensed to practice in * (Not Available) (license number ) and her current practice location is
3925 E Broadway Rd Ste 200, Phoenix, Arizona. She can be reached at her office (for appointments etc.) via phone at
(602) 690-6901.
NPI number for Nicole Danielle Collins is 1558147769 and her current mailing address is 10755 E Medina Ave, Mesa, Arizona. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1558147769.
Healthcare Provider's Profile
| Full Name | Nicole Danielle Collins |
|---|
| Gender | Female |
|---|
| Speciality | Community/behavioral Health |
|---|
| Location | 3925 E Broadway Rd Ste 200, Phoenix, Arizona |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1558147769
- Provider Enumeration Date: 09/04/2023
- Last Update Date: 10/27/2023
Medical Identifiers
Medical identifiers for Nicole Danielle Collins such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1558147769 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| 103TA0400X | Psychologist - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| 103K00000X | Behavior Analyst | (* (Not Available)) | Secondary |
| 103TB0200X | Psychologist - Cognitive & Behavioral | (* (Not Available)) | Secondary |
| 103TC1900X | Psychologist - Counseling | (* (Not Available)) | Secondary |
| 103TP2701X | Psychologist - Group Psychotherapy | (* (Not Available)) | Secondary |
| 3747A0650X | Technician - Attendant Care Provider | 291908 (Missouri) | Secondary |
| 251S00000X | Community/behavioral Health | (* (Not Available)) | 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. Nicole Danielle 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 |
|---|
Nicole Danielle Collins,
10755 E Medina Ave,
Mesa, AZ 85209-3212
Ph: (480) 825-8285 | Nicole Danielle Collins,
3925 E Broadway Rd Ste 200,
Phoenix, AZ 85040-2977
Ph: (602) 690-6901 |
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