Collins, Dorin Melida
Collins, Dorin Melida is an sole proprietor health care provider with primary practice located at 4081 W El Segundo Blvd , Hawthorne CA 90250-4658. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Marriage & Family Therapist, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Collins, Dorin Melida can be contacted via phone (323) 320-1370.Contact Information
Primary practice address
4081 W El Segundo Blvd
Hawthorne CA 90250-4658
Phone: (323) 320-1370
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Marriage & Family Therapist | 106H00000X | 126664 | California |
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 126664 | California |
Profile Details
| NPI number | 1871165050 |
|---|---|
| LBN Legal business name | Collins, Dorin Melida |
| Credentials | AMFT |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 15th, 2021 |
| Last updated | Jun 27th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1871165050 | NPPES |
| California | MEDICAID | 1508206848 |
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