Healthcare Provider Details

I. General information

NPI: 1548178429
Provider Name (Legal Business Name): CAROLINE KOLLARS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/31/2026
Last Update Date: 08/31/2026
Certification Date: 08/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2825 3RD AVE STE 402
BRONX NY
10455-4073
US

IV. Provider business mailing address

1192 BEDFORD AVE APT 2B
BROOKLYN NY
11216-4880
US

V. Phone/Fax

Practice location:
  • Phone: 585-709-8319
  • Fax:
Mailing address:
  • Phone: 312-995-2134
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: