Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Collective Self LLC

Organization Marriage & Family Therapist · NPI 1821864505

Collective Self LLC is a Marriage & Family Therapist in Coconut Creek, Florida. Registered with an NPI since 2023.

In the registry since
2023
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4400 W Sample Rd Ste 112
Coconut Creek, FL 33073-3457
Phone: (954) 240-0884
Fax: (505) 438-1820
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Marriage & Family Therapist (primary) Taxonomy 106H00000X

Record details

NPI number1821864505
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Gwenevere Abriel — Ceo · (954) 240-0884
NPI enumeratedDecember 4, 2023
Last updated in NPPESDecember 4, 2023
Certification dateDecember 3, 2023
Mailing address5379 Lyons Rd # 172, Coconut Creek, FL 33073-2810

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