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Organization
THE COLLEXTIVE GROUP
Active
Organization
THE COLLEXTIVE GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DUSTIN TRAIL (FOUNDER/ EXECUTIVE DIRECTOR)
(860) 965-6777
Entity
Organization
Contact information
Practice address
1029 S MAIN ST, UNIT 121, LOS ANGELES, CA 90015
(860) 965-6777
Mailing address
1029 S MAIN ST, UNIT 121, LOS ANGELES, CA 90015
(860) 965-6777
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
—
—
103K00000X
Behavior Analyst
—
—
171400000X
Health & Wellness Coach
—
—
171M00000X
Case Manager/Care Coordinator
—
—
174200000X
Meals Provider
—
—
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
251V00000X
Voluntary or Charitable Agency
—
—
261QC1500X
Community Health Clinic/Center
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
04/09/2026
Last updated
04/09/2026
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