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SAMANTHA COLLAZO
NPI 1609391069
Counselor - Mental Health in Fort Walton Beach, FL

Active since August 07, 2017
907 MAR WALT DR STE 2021, FORT WALTON BEACH, FL 32547(850) 496-6923 Get Directions Write a Review

NPPES record last updated: January 18, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 18, 2023, Aug 31, 2017, Aug 7, 2017 (3 updates tracked since 2017).

About Samantha Collazo NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SAMANTHA COLLAZO (NPI 1609391069) is an individual mental health provider in Fort Walton Beach, Florida and active in the NPI registry since August 2017.

NPPES Registry Identity

NPI1609391069
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameSAMANTHA COLLAZO
Location Address907 MAR WALT DR STE 2021Fort Walton Beach, FL 32547-6756
Mailing AddressPo Box 4111Shalimar, FL 32579-4111
Phone(850) 496-6923
Sole ProprietorNo
Enumeration DateAugust 7, 2017
Last NPPES UpdateJanuary 18, 20233 updates tracked since enumeration
NPPES CertifiedJanuary 18, 2023
✔ NPI 1609391069 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
Also ListedSocial WorkerTaxonomy 104100000X
907 MAR WALT DR STE 2021, Fort Walton Beach, FL 32547
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Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ALEIGHSHA MARIE WEBBER
Counselor (Mental Health)
907 MAR WALT DR STE 2021
FORT WALTON BEACH, FL 32547
Okaloosa County (850) 988-6255
ALEIGHSHA WEBBER COUNSELING, LLC
Counselor (Mental Health)
907 MAR WALT DR STE 2021
FORT WALTON BEACH, FL 32547
Okaloosa County (850) 988-6255
LAUREN ELIZABETH TILDEN
Marriage & Family Therapist
907 MAR WALT DR STE 2021
FORT WALTON BEACH, FL 32547
Okaloosa County (850) 462-4386
ZADIE MAE ENGELBERGER PA
Physician Assistant
907 MAR WALT DR STE 2021
FORT WALTON BEACH, FL 32547
Okaloosa County (850) 988-6255

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Samantha Collazo's NPI number?

The NPI number for Samantha Collazo is 1609391069. It was assigned to this individual provider in the NPPES registry on August 7, 2017.

Where is Samantha Collazo located?

Samantha Collazo practices at 907 Mar Walt Dr Ste 2021, Fort Walton Beach, FL 32547. The listed phone number is (850) 496-6923.

What is Samantha Collazo's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Samantha Collazo was last updated on January 18, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.