Healthcare Provider Details

I. General information

NPI: 1386548832
Provider Name (Legal Business Name): OKSANA ALEXANDROVNA COLLIER LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/07/2026
Last Update Date: 10/07/2026
Certification Date: 10/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

24010 STATE ROAD 54
LUTZ FL
33559-6767
US

IV. Provider business mailing address

24010 STATE ROAD 54
LUTZ FL
33559-6767
US

V. Phone/Fax

Practice location:
  • Phone: 702-758-9006
  • Fax:
Mailing address:
  • Phone: 702-758-9006
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberSW27452
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: