Collins, Lareva
Collins, Lareva is an individual health care provider with primary practice located at 1239 E Main St , Bartow FL 33830-5058. She recently has only one registered license in Other Service Providers / Community Health Worker, which is considered as her primary health care specialty. Collins, Lareva can be contacted via phone (863) 519-0575.Contact Information
Primary practice address
1239 E Main St
Bartow FL 33830-5058
Phone: (863) 519-0575
Fax: (863) 582-9251
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Community Health Worker | 172V00000X |
Profile Details
| NPI number | 1497149843 |
|---|---|
| LBN Legal business name | Collins, Lareva |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 24th, 2015 |
| Last updated | Mar 24th, 2015 - about 10 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 | 1497149843 | NPPES |
| Florida | Other | 2248 | CERTIFIED BEHAVIORAL HEALTH TECHNICIAN |
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