Collins, Calvin Edward

Collins, Calvin Edward is an sole proprietor health care provider with primary practice located at 590 Tamiami Trl Unit 3 , Port Charlotte FL 33953-2109. He recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as his primary health care specialty. Collins, Calvin Edward can be contacted via phone (941) 237-1199.

Contact Information

Primary practice address
590 Tamiami Trl Unit 3 Port Charlotte FL 33953-2109
Phone: (941) 237-1199
Fax: (941) 429-7873
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 11397 Florida

Profile Details

NPI number 1144570250
LBN Legal business name Collins, Calvin Edward
Credentials LMHC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 16th, 2012
Last updated Dec 14th, 2020 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1144570250 NPPES
Florida MEDICAID 021278800

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