Provider Demographics
NPI:1821335001
Name:COLLING, ADAM (LMHC, CAP)
Entity Type:Individual
Prefix:
First Name:ADAM
Middle Name:
Last Name:COLLING
Suffix:
Gender:M
Credentials:LMHC, CAP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:734 NEW YORK ST
Mailing Address - Street 2:
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33401-6602
Mailing Address - Country:US
Mailing Address - Phone:561-685-6934
Mailing Address - Fax:
Practice Address - Street 1:1034 GATEWAY BLVD STE 104
Practice Address - Street 2:
Practice Address - City:BOYNTON BEACH
Practice Address - State:FL
Practice Address - Zip Code:33426-8360
Practice Address - Country:US
Practice Address - Phone:561-685-6934
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-01-08
Last Update Date:2023-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL11423101YM0800X
FL11393101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health