Basic Information
| Provider Information | |||||||||
| NPI: | 1629256540 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | COLLINS | ||||||||
| FirstName: | RACHEL | ||||||||
| MiddleName: | W | ||||||||
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| Credential: | MS,BA,LPC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 428 COLUMBUS AVE | ||||||||
| Address2: | |||||||||
| City: | NEW HAVEN | ||||||||
| State: | CT | ||||||||
| PostalCode: | 065191233 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2035033059 | ||||||||
| FaxNumber: | 2035033066 | ||||||||
| Practice Location | |||||||||
| Address1: | 428 COLUMBUS AVE | ||||||||
| Address2: | |||||||||
| City: | NEW HAVEN | ||||||||
| State: | CT | ||||||||
| PostalCode: | 065191233 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2035033059 | ||||||||
| FaxNumber: | 2035033066 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 02/01/2008 | ||||||||
| LastUpdateDate: | 12/29/2016 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 101YP2500X | 002524 | CT | Y | Behavioral Health & Social Service Providers | Counselor | Professional |
ID Information
| ID | Type | State | Issuer | Description | 12696221 | 01 | CT | CAQH | OTHER | PENDING | 01 | CT | MULTIPLAN AWAKEN THE POWER THERAPY | OTHER | PENDING | 01 | CT | OPTUM BEHAVIORAL HEALTH OXFORD FREEDOM/LIBERTY AWAKEN THE POWER THERAPY | OTHER | PENDING | 01 | CT | ANTHEM BCBS OF CT AWAKEN THE POWER THERAPY, LLC | OTHER | PENDING | 01 | CT | OPTUM BEHAVIORAL HEALTH- UNITED HEALTHCARE AWAKEN THE POWER THERAPY | OTHER | PENDING | 01 | CT | FEI BEHAVIORAL HEALTH AWAKEN THE POWER THERAPY | OTHER | PENDING | 01 | CT | OPTUM BEHAVIORAL HEALTH-CONNECTICARE AWAKEN THE POWER THERAPY | OTHER | PENDING | 01 | CT | BEACON HEALTH STRATEGIES-VO AWAKEN THE POWER THERAPY, LLC | OTHER | PENDING | 01 | CT | OPTUM BEHAVIORAL HEALTH AWAKEN THE POWER THERAPY | OTHER | 008050783 | 05 | CT | MEDICAID | 4903859 PENDING | 01 | CT | CIGNA BEHAVIORAL HEALTH AWAKEN THE POWER THERAPY | OTHER | 472092928 | 01 | CT | THREE RIVERS AWAKEN THE POWER THERAPY | OTHER | PENDING | 01 | CT | HEALTHYCT AWAKEN THE POWER THERAPY | OTHER |