Collins, Derrick

Collins, Derrick is an sole proprietor health care provider with primary practice located at 19 Starling Dr , Daytona Beach FL 32117-1886. He recently has 3 registered licenses in different health care specialties including Other Service Providers / Case Manager/Care Coordinator, Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Collins, Derrick can be contacted via phone (386) 262-9852.

Contact Information

Primary practice address
19 Starling Dr Daytona Beach FL 32117-1886
Phone: (386) 262-9852
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X
Behavioral Health & Social Service Providers / Clinical 1041C0700X
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1467856427
LBN Legal business name Collins, Derrick
Credentials M.S.W
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 20th, 2014
Last updated Aug 12th, 2024 - about 2 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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