Provider Demographics
NPI:1821643917
Name:COLLINS, GINA BELINDA (MS, LMFT)
Entity Type:Individual
Prefix:MS
First Name:GINA
Middle Name:BELINDA
Last Name:COLLINS
Suffix:
Gender:F
Credentials:MS, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 800383
Mailing Address - Street 2:
Mailing Address - City:SANTA CLARITA
Mailing Address - State:CA
Mailing Address - Zip Code:91380-0383
Mailing Address - Country:US
Mailing Address - Phone:661-300-2388
Mailing Address - Fax:
Practice Address - Street 1:31673 BOBCAT WAY
Practice Address - Street 2:
Practice Address - City:CASTAIC
Practice Address - State:CA
Practice Address - Zip Code:91384-2503
Practice Address - Country:US
Practice Address - Phone:661-300-2388
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-08-06
Last Update Date:2023-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA138934106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist