MEDICARE: MS. CARON COLLINS LMFT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	MT3194	FL
2	106H00000X	Marriage & Family Therapist	IMF 40272	CA

General Provider Information

NPI Number	:	1669481982
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. CARON COLLINS LMFT

Provider Business Mailing Address
First Line	:	2501 RED HIBISCUS BLVD
Second Line	:
City	:	DELRAY BEACH
State	:	FL
Zip	:	33445-6195
Country	:	US
Telephone Number	:	813-922-1253
Fax Number	:

Provider Business Practice Location Address
First Line	:	2501 RED HIBISCUS BLVD
Second Line	:
City	:	DELRAY BEACH
State	:	FL
Zip	:	33445
Country	:	US
Telephone Number	:	813-922-1253
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/05/2006
Last Update Date	:	04/16/2026

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