Healthcare Provider Details

I. General information

NPI: 1497675359
Provider Name (Legal Business Name): COLLECTIVE HEALTHCARE GROUP INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/20/2026
Last Update Date: 07/20/2026
Certification Date: 07/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7065 MELTING SHADOWS LN
COLUMBIA MD
21045-4838
US

IV. Provider business mailing address

7065 MELTING SHADOWS LN
COLUMBIA MD
21045-4838
US

V. Phone/Fax

Practice location:
  • Phone: 301-922-7031
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MICHELLE DAVID
Title or Position: PHYSICAL THERAPY ASSISTANT
Credential: PTA
Phone: 301-922-7031