Provider Demographics
NPI:1275878662
Name:COLLINS, MEGAN A (LMFT, ATR-P)
Entity type:Individual
Prefix:MRS
First Name:MEGAN
Middle Name:A
Last Name:COLLINS
Suffix:
Gender:F
Credentials:LMFT, ATR-P
Other - Prefix:
Other - First Name:MEGAN
Other - Middle Name:
Other - Last Name:SARACENI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:9461 CHARLEVILLE BLVD STE 1185
Mailing Address - Street 2:
Mailing Address - City:BEVERLY HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:90212-3017
Mailing Address - Country:US
Mailing Address - Phone:424-209-7172
Mailing Address - Fax:
Practice Address - Street 1:20501 VENTURA BLVD STE 170
Practice Address - Street 2:
Practice Address - City:WOODLAND HILLS
Practice Address - State:CA
Practice Address - Zip Code:91364-6258
Practice Address - Country:US
Practice Address - Phone:818-579-5693
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-12-11
Last Update Date:2024-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
225400000X
CA151021106H00000X
24-101221700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No225400000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRehabilitation Practitioner
No221700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersArt Therapist