Healthcare Provider Details

I. General information

NPI: 1669481982
Provider Name (Legal Business Name): CARON COLLINS LMFT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/05/2006
Last Update Date: 04/16/2026
Certification Date: 04/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2501 RED HIBISCUS BLVD
DELRAY BEACH FL
33445
US

IV. Provider business mailing address

2501 RED HIBISCUS BLVD
DELRAY BEACH FL
33445-6195
US

V. Phone/Fax

Practice location:
  • Phone: 813-922-1253
  • Fax:
Mailing address:
  • Phone: 813-922-1253
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberMT3194
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License NumberIMF 40272
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: