Healthcare Provider Details

I. General information

NPI: 1558298729
Provider Name (Legal Business Name): SYMONE COLLINS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/04/2026
Last Update Date: 05/04/2026
Certification Date: 05/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1621 MONTEVINA CIR APT 1915
OXNARD CA
93030-8283
US

IV. Provider business mailing address

1621 MONTEVINA CIR APT 1915
OXNARD CA
93030-8283
US

V. Phone/Fax

Practice location:
  • Phone: 805-890-9811
  • Fax:
Mailing address:
  • Phone: 805-890-9811
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: