| Camilla C. Collins Llc | |
|
16 Appaloosa Ct Wentzville MO 63385-4514 | |
| (636) 293-0517 | |
| Not Available |
| Full Name | Camilla C. Collins Llc |
|---|---|
| Speciality | Social Worker |
| Location | 16 Appaloosa Ct, Wentzville, Missouri |
| Authorized Official Name and Position | Camilla C Collins (OWNER) |
| Authorized Official Contact | 6362930517 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Camilla C. Collins Llc 1939 Wentzville Pkwy Ste 114 Wentzville MO 63385-3424 Ph: () - | Camilla C. Collins Llc 16 Appaloosa Ct Wentzville MO 63385-4514 Ph: (636) 293-0517 |
| NPI Number | 1558047613 |
|---|---|
| Provider Enumeration Date | 06/23/2023 |
| Last Update Date | 06/23/2023 |
| Certification Date | 06/23/2023 |
| Medicare PECOS PAC ID | 9436510278 |
|---|---|
| Medicare Enrollment ID | O20230726003765 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558047613 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Camilla Carolyn Collins |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1275104069 PECOS PAC ID: 0345601183 Enrollment ID: I20230726003813 |
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