Provider Demographics
NPI:1013585959
Name:COLLINS, ADRIANA C (PSYD)
Entity Type:Individual
Prefix:DR
First Name:ADRIANA
Middle Name:C
Last Name:COLLINS
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5337 PAYLOR LN STE 200
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD RANCH
Mailing Address - State:FL
Mailing Address - Zip Code:34240-2211
Mailing Address - Country:US
Mailing Address - Phone:941-702-2065
Mailing Address - Fax:844-903-4613
Practice Address - Street 1:5337 PAYLOR LN STE 200
Practice Address - Street 2:
Practice Address - City:LAKEWOOD RANCH
Practice Address - State:FL
Practice Address - Zip Code:34240-2211
Practice Address - Country:US
Practice Address - Phone:941-702-2065
Practice Address - Fax:844-903-4613
Is Sole Proprietor?:Yes
Enumeration Date:2021-06-16
Last Update Date:2021-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPY11016103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical