COLLECTIVE SELF LLC - NPI 1821864505 - Marriage & Family Therapist in Coconut Creek, FL

Q: What is Collective Self LLC's NPI number?

The NPI number for Collective Self LLC is 1821864505. It was assigned to this organization in the NPPES registry on December 4, 2023.

Q: What is Collective Self LLC's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

On this page

About Collective Self Llc NPPES

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

COLLECTIVE SELF LLC (NPI 1821864505) is a healthcare organization registered as a marriage & family therapist in Coconut Creek, Florida and active in the NPI registry since December 2023. The organization lists Gwenevere Abriel, Ceo, as its authorized official.

NPPES Registry Identity

NPI1821864505

Entity TypeOrganization

Primary Taxonomy106H00000X

Legal Business NameCOLLECTIVE SELF LLC

Location Address4400 W SAMPLE RD STE 112Coconut Creek, FL 33073-3457

Mailing Address5379 Lyons Rd # 172Coconut Creek, FL 33073-2810

Phone(954) 240-0884

Fax(505) 438-1820

Organization SubpartNo

Authorized OfficialGwenevere AbrielCeo · (954) 240-0884

Enumeration DateDecember 4, 2023

NPPES CertifiedDecember 3, 2023

✔ NPI 1821864505 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers

Taxonomy Code106H00000X

Definition

A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.

4400 W SAMPLE RD STE 112, Coconut Creek, FL 33073

Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 7

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

K C WELLNESS LOUNGE LLC

Clinic/Center (Primary Care)