Provider Demographics
NPI:1821464967
Name:COLLINS, KIMBERLY MARIE (LCSW)
Entity type:Individual
Prefix:
First Name:KIMBERLY
Middle Name:MARIE
Last Name:COLLINS
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:401 WHITNEY AVE STE 405
Mailing Address - Street 2:
Mailing Address - City:GRETNA
Mailing Address - State:LA
Mailing Address - Zip Code:70056-2503
Mailing Address - Country:US
Mailing Address - Phone:504-339-4320
Mailing Address - Fax:504-321-7966
Practice Address - Street 1:401 WHITNEY AVE STE 405
Practice Address - Street 2:
Practice Address - City:GRETNA
Practice Address - State:LA
Practice Address - Zip Code:70056-2503
Practice Address - Country:US
Practice Address - Phone:504-339-4320
Practice Address - Fax:504-321-7966
Is Sole Proprietor?:Yes
Enumeration Date:2015-08-12
Last Update Date:2025-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA76371041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical