Provider Demographics
NPI:1447791009
Name:COLLINS, SIMONE LORRAINE KAZEL
Entity Type:Individual
Prefix:MISS
First Name:SIMONE
Middle Name:LORRAINE KAZEL
Last Name:COLLINS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2550 MIDDLE RD STE 506
Mailing Address - Street 2:
Mailing Address - City:BETTENDORF
Mailing Address - State:IA
Mailing Address - Zip Code:52722-3289
Mailing Address - Country:US
Mailing Address - Phone:563-223-8437
Mailing Address - Fax:
Practice Address - Street 1:2550 MIDDLE RD STE 506
Practice Address - Street 2:
Practice Address - City:BETTENDORF
Practice Address - State:IA
Practice Address - Zip Code:52722-3289
Practice Address - Country:US
Practice Address - Phone:563-223-8437
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-03-15
Last Update Date:2023-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor