Coll Community Services LLC

Primary specialty

Psychiatric Residential Treatment FacilityTaxonomy code 323P00000X

Legal business name

COLL COMMUNITY SERVICES LLC

Practice address

4545 N 67TH Ave Unit 1109
Phoenix, AZ 85033-1670

Phone

(954) 544-9065

NPI assigned

Dec 18, 2020

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Collins Kukwa Ayeah

Title

Administrator

Phone

(954) 544-9065

Specialties & licenses 2

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1608249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727827200000",
    "number": "1700472180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4545 N 67TH AVE UNIT 1109",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850331670",
            "telephone_number": "954-544-9065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4545 N 67TH AVE UNIT 1109",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850331670",
            "telephone_number": "954-544-9065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLL COMMUNITY SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-18",
        "last_updated": "2024-10-02",
        "certification_date": "2024-10-02",
        "status": "A",
        "authorized_official_last_name": "AYEAH",
        "authorized_official_first_name": "COLLINS",
        "authorized_official_middle_name": "KUKWA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "954-544-9065"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "323P00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Residential Treatment Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauren Elizabeth Colick, MPH, RD, LD, CPH
• Danielle Leora Colin, NP
• Lourdes Colin, FNP
• Nicole Christi H Colina, PHARMD
• Karem Patricia Colindres, D.O.
• Coll Mentors LLC
• Peter J Colla, P.T.
• Collaborative Technology Solutions LLC
• Elias Joel Collado
• College Medical Center Phoenix LLC

• Psychiatric Residential Treatment Facility in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Psychiatric Residential Treatment Facility in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.