Provider Demographics
NPI:1629256540
Name:COLLINS, RACHEL W (MS,BA,LPC)
Entity Type:Individual
Prefix:
First Name:RACHEL
Middle Name:W
Last Name:COLLINS
Suffix:
Gender:F
Credentials:MS,BA,LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:428 COLUMBUS AVE
Mailing Address - Street 2:
Mailing Address - City:NEW HAVEN
Mailing Address - State:CT
Mailing Address - Zip Code:06519-1233
Mailing Address - Country:US
Mailing Address - Phone:203-503-3059
Mailing Address - Fax:203-503-3066
Practice Address - Street 1:428 COLUMBUS AVE
Practice Address - Street 2:
Practice Address - City:NEW HAVEN
Practice Address - State:CT
Practice Address - Zip Code:06519-1233
Practice Address - Country:US
Practice Address - Phone:203-503-3059
Practice Address - Fax:203-503-3066
Is Sole Proprietor?:No
Enumeration Date:2008-02-01
Last Update Date:2016-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT002524101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT12696221OtherCAQH
CTPENDINGOtherMULTIPLAN AWAKEN THE POWER THERAPY
CTPENDINGOtherOPTUM BEHAVIORAL HEALTH OXFORD FREEDOM/LIBERTY AWAKEN THE POWER THERAPY
CTPENDINGOtherANTHEM BCBS OF CT AWAKEN THE POWER THERAPY, LLC
CTPENDINGOtherOPTUM BEHAVIORAL HEALTH- UNITED HEALTHCARE AWAKEN THE POWER THERAPY
CTPENDINGOtherFEI BEHAVIORAL HEALTH AWAKEN THE POWER THERAPY
CTPENDINGOtherOPTUM BEHAVIORAL HEALTH-CONNECTICARE AWAKEN THE POWER THERAPY
CTPENDINGOtherBEACON HEALTH STRATEGIES-VO AWAKEN THE POWER THERAPY, LLC
CTPENDINGOtherOPTUM BEHAVIORAL HEALTH AWAKEN THE POWER THERAPY
CT008050783Medicaid
CT4903859 PENDINGOtherCIGNA BEHAVIORAL HEALTH AWAKEN THE POWER THERAPY
CT472092928OtherTHREE RIVERS AWAKEN THE POWER THERAPY
CTPENDINGOtherHEALTHYCT AWAKEN THE POWER THERAPY
CT008050783Medicaid