Provider Demographics
NPI:1912795535
Name:BONDED COUNSELING COLLECTIVE
Entity type:Organization
Organization Name:BONDED COUNSELING COLLECTIVE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER, DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:KARLI
Authorized Official - Middle Name:
Authorized Official - Last Name:FLEITAS
Authorized Official - Suffix:
Authorized Official - Credentials:PHD, LMHC
Authorized Official - Phone:239-770-7680
Mailing Address - Street 1:1425 MARKET BLVD STE 530
Mailing Address - Street 2:PMB 25
Mailing Address - City:ROSWELL
Mailing Address - State:GA
Mailing Address - Zip Code:30076-6723
Mailing Address - Country:US
Mailing Address - Phone:239-770-7680
Mailing Address - Fax:
Practice Address - Street 1:110 W 96TH ST APT 2B
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10025-6412
Practice Address - Country:US
Practice Address - Phone:239-770-7680
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-04-25
Last Update Date:2025-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty