COLLIS KIMBROUGH, LCSW
NPI 1972860799
Community/Behavioral Health in Fort Lauderdale, FL

Q: What is Collis Kimbrough, Lcsw's NPI number?

The NPI number for Collis Kimbrough, Lcsw is 1972860799. It was assigned to this organization in the NPPES registry on April 18, 2012.

Q: What is Collis Kimbrough, Lcsw's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

Active since April 18, 2012

2655 E OAKLAND PARK BLVD, SUITE 2, FORT LAUDERDALE, FL 33306(954) 561-3112 Get Directions Write a Review

NPPES record last updated: April 18, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Collis Kimbrough, Lcsw NPPES

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

COLLIS KIMBROUGH, LCSW (NPI 1972860799) is a healthcare organization registered as a community/behavioral health in Fort Lauderdale, Florida and active in the NPI registry since April 2012. The organization lists Collis Kimbrough, Sole Proprietor/owner, as its authorized official.

NPPES Registry Identity

NPI1972860799

Entity TypeOrganization

Primary Taxonomy251S00000X

Legal Business NameCOLLIS KIMBROUGH, LCSW

Location Address2655 E OAKLAND PARK BLVD, SUITE 2Fort Lauderdale, FL 33306-1662

Mailing Address2655 E Oakland Park Blvd, Suite 2Fort Lauderdale, FL 33306-1662 · (954) 561-3112

Phone(954) 561-3112

Organization SubpartNo

Authorized OfficialCollis KimbroughSole Proprietor/owner · (954) 561-3112

Enumeration DateApril 18, 2012

✔ NPI 1972860799 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity/Behavioral HealthAgencies

Taxonomy Code251S00000X

License✔ Licensed in FL · SW9190

Definition

A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.

2655 E OAKLAND PARK BLVD, Fort Lauderdale, FL 33306

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Other Identifiers 1

Medicare PINCB665B

Other Providers at the Same Location NPPES 11

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

KEVIN NOBLE DPT

Physical Therapist

2655 E OAKLAND PARK BLVD
FT LAUDERDALE, FL 33306

Broward County (800) 650-5289

RHEA GAIL TIMM LCSW

Social Worker (Clinical)

2655 E OAKLAND PARK BLVD
FORT LAUDERDALE, FL 33306

Broward County (954) 240-5566

CHARMAINE JOHNSON-LEONG, DDS, PA

Dentist (General Practice)

2655 E OAKLAND PARK BLVD, SUITE 1
FORT LAUDERDALE, FL 33306

Broward County (954) 566-7479

EDEN MASSAGE & SPA, INC

Massage Therapist

2655 E OAKLAND PARK BLVD, SUITE #2
FORT LAUDERDALE, FL 33306

Broward County (954) 564-9536

SOUTH FLORIDA CENTER FOR COUNSELING AND THERAPY

Social Worker (Clinical)

2655 E OAKLAND PARK BLVD, SUITE 2
FORT LAUDERDALE, FL 33306

Broward County (954) 776-3639

CAROLINA DE CASTRO ALCANTARA PT

Physical Therapist

2655 E OAKLAND PARK BLVD, SUITE 5
FORT LAUDERDALE, FL 33306

Broward County (954) 630-3131

MATEO J MARTINEZ PT

Physical Therapist

2655 E OAKLAND PARK BLVD, SUITE 5
FORT LAUDERDALE, FL 33306

Broward County (954) 630-3131

LEVERAGE HEALTH, INC.

Home Health

2655 E OAKLAND PARK BLVD, SUITE 5
FORT LAUDERDALE, FL 33306

Broward County (954) 630-3131

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 Collis Kimbrough, Lcsw's NPI number?

The NPI number for Collis Kimbrough, Lcsw is 1972860799. It was assigned to this organization in the NPPES registry on April 18, 2012.

Where is Collis Kimbrough, Lcsw located?

Collis Kimbrough, Lcsw is located at 2655 E Oakland Park Blvd Suite 2, Fort Lauderdale, FL 33306. The listed phone number is (954) 561-3112.

What is Collis Kimbrough, Lcsw's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

When was this NPI record last updated?

The NPPES record for Collis Kimbrough, Lcsw was last updated on April 18, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.