Provider Demographics
NPI:1295565455
Name:COLLINS, LAUREN LYNNE
Entity type:Individual
Prefix:
First Name:LAUREN
Middle Name:LYNNE
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 1:1302 STONEBROOKE DR
Mailing Address - Street 2:
Mailing Address - City:HOWELL
Mailing Address - State:MI
Mailing Address - Zip Code:48843-9708
Mailing Address - Country:US
Mailing Address - Phone:517-798-7415
Mailing Address - Fax:
Practice Address - Street 1:1302 STONEBROOKE DR
Practice Address - Street 2:
Practice Address - City:HOWELL
Practice Address - State:MI
Practice Address - Zip Code:48843-9708
Practice Address - Country:US
Practice Address - Phone:517-798-7415
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-08-02
Last Update Date:2024-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker