Provider Demographics
NPI:1679290340
Name:COLLINS, MARKELA (QMHP)
Entity Type:Individual
Prefix:
First Name:MARKELA
Middle Name:
Last Name:COLLINS
Suffix:
Gender:F
Credentials:QMHP
Other - Prefix:MS
Other - First Name:MARKELA
Other - Middle Name:
Other - Last Name:COLLINS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MARKELA WILLIAMS
Mailing Address - Street 1:1015 COUNTRY PLACE DR APT 66
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77079-4738
Mailing Address - Country:US
Mailing Address - Phone:832-900-0783
Mailing Address - Fax:
Practice Address - Street 1:9894 BISSONNET ST STE 330
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77036-8241
Practice Address - Country:US
Practice Address - Phone:832-900-0783
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-10-24
Last Update Date:2022-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical