Collins, Demetria

Collins, Demetria is an sole proprietor health care provider with primary practice located at 4000 E Charleston Blvd Ste 130 , Las Vegas NV 89104-6681. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Collins, Demetria can be contacted via phone (702) 968-5059.

Contact Information

Primary practice address
4000 E Charleston Blvd Ste 130 Las Vegas NV 89104-6681
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X IC-1138 Nevada

Profile Details

NPI number 1699181289
LBN Legal business name Collins, Demetria
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 3rd, 2014
Last updated Dec 11th, 2019 - about 7 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 1699181289 NPPES
Nevada Other 8665-C STATE OF NEVADA BOARD OF EXAMINERS FOR SOCIAL WORKERS
Nevada Other IC-1138 STATE OF NEVADA BOARD OF EXAMINERS FOR SOCIAL WORKERS
Nevada Other 6876-S STATE OF NEVADA BOARD OF EXAMINERS FOR SOCIAL WORKERS

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