| Provider / Organization | NPI | Date Certified |
|---|---|---|
| MARISOL COLLAZO | 1689919060 | 2024-08-11 |
Marisol Collazo is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1689919060. Registration indicates Marisol Collazo is a provider of access to mental health/behavioral health providers services with a specialization in Behavioral Health & Social Service Providers, Counselor (Behavioral Health & Social Service Providers, Counselor) (Counselor: Mental Health, ) (Behavioral Health/Substance Abuse/Psychiatry, ) (Counselor Mental Health, Behavioral Health & Social Service Providers) (Counselor, )
| Entity Type | Individual |
| Provider Name | Marisol Collazo |
| Practice Office Address | 3501 W VINE ST STE 517 KISSIMMEE, FL US |
| Practice Office Telephone | 4075525444 |
| Practice Office Fax | 4079881600 |
| Mailing Address | 20 LAKEPOINTE CIR KISSIMMEE, FL 347438113 US |
| Business Telephone | 4077448599 |
| Business Fax | 4079881600 |
| Code | Practice | License No State |
|---|---|---|
| 101YM0800X PRIMARY | Access to Mental Health/Behavioral Health Providers Behavioral Health & Social Service Providers Counselor Behavioral Health & Social Service Providers Counselor Counselor: Mental Health Behavioral Health/Substance Abuse/Psychiatry Counselor Mental Health Behavioral Health & Social Service Providers Counselor |