Individual
MIA COLLINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
315 AMESBURY DR APT 357, LAFAYETTE, LA 70507
(337) 227-0024
Mailing address
315 AMESBURY DR APT 357, LAFAYETTE, LA 70507-3556
(337) 227-0024
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
07/07/2017
Last updated
02/01/2023
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