OrganizationActive
Collis Kimbrough, Lcsw
NPI 1972860799 · Community/Behavioral Health Agency · Fort Lauderdale, FL
Provider details
- NPI number
- 1972860799
- Entity type
- Organization
- Primary specialty
- Community/Behavioral Health AgencyAgencies
- Organization subpart
- No
- Authorized official
- Collis Kimbrough, Sole Proprietor/Owner(954) 561-3112
- License
- SW9190 (FL)
Specialties & taxonomies
Agencies
Profile Score
Detailed profile(80/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2655 E Oakland Park Blvd
Suite 2
Fort Lauderdale, FL 33306-1662
Phone: (954) 561-3112
Street-level locationGet directions
Mailing address
2655 E Oakland Park Blvd
Fort Lauderdale, FL 33306-1662
Registry dates
- Enumerated
- 2012-04-18
- Last updated
- 2012-04-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.