Healthcare Provider Details

I. General information

NPI: 1659284420
Provider Name (Legal Business Name): COLLINS PSYCHOTHERAPY & COUNSELING SERVICES PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/23/2026
Last Update Date: 09/23/2026
Certification Date: 09/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1119 4TH ST STE 218
SIOUX CITY IA
51101-1929
US

IV. Provider business mailing address

1119 4TH ST STE 218
SIOUX CITY IA
51101-1929
US

V. Phone/Fax

Practice location:
  • Phone: 712-888-2637
  • Fax:
Mailing address:
  • Phone: 712-888-2637
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: JENNIFER COLLINS
Title or Position: OWNER/THERAPIST
Credential: LMHC
Phone: 712-888-2637