Provider Demographics
NPI:1659685162
Name:COLLINS, SARAH M (LMHC)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:M
Last Name:COLLINS
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:535 LIPOA PKWY STE 155
Mailing Address - Street 2:
Mailing Address - City:KIHEI
Mailing Address - State:HI
Mailing Address - Zip Code:96753-6950
Mailing Address - Country:US
Mailing Address - Phone:808-867-8003
Mailing Address - Fax:
Practice Address - Street 1:535 LIPOA PKWY STE 155
Practice Address - Street 2:
Practice Address - City:KIHEI
Practice Address - State:HI
Practice Address - Zip Code:96753-6950
Practice Address - Country:US
Practice Address - Phone:808-867-8003
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-07-27
Last Update Date:2022-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIMHC-552101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health