Provider Demographics
NPI:1831933217
Name:COLLINS, ROLANDA LYNETTE (MA)
Entity type:Individual
Prefix:MISS
First Name:ROLANDA
Middle Name:LYNETTE
Last Name:COLLINS
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:629 BELMONT DR
Mailing Address - Street 2:
Mailing Address - City:ROMEOVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:60446-1652
Mailing Address - Country:US
Mailing Address - Phone:630-664-2827
Mailing Address - Fax:
Practice Address - Street 1:629 BELMONT DR
Practice Address - Street 2:
Practice Address - City:ROMEOVILLE
Practice Address - State:IL
Practice Address - Zip Code:60446-1652
Practice Address - Country:US
Practice Address - Phone:630-664-2827
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-06-21
Last Update Date:2024-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health