KIMBERLEY CANUPP COLLURO LPC NPI 1689646192

NPI Information

  • NPI: 1689646192
  • Provider Name: KIMBERLEY CANUPP COLLURO, LPC
  • Classification: Counselor - 101YP2500X
  • Specialization: Professional
  • Entity Type: Individual
  • Address: 26 CHARLIE SMITH RD
    BRASELTON, GA
    ZIP 30517
  • Phone: (770) 654-6836

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NPI Details

Kimberley Canupp Colluro, LPC is a professional counselor in Braselton, GA. Kimberley Canupp Colluro, LPC NPI is 1689646192. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

26 CHARLIE SMITH RD
BRASELTON, GA
ZIP 30517-500
Phone: (770) 654-6836

The enumeration date for this NPI number is 2/7/2006 and was last updated on 3/20/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YP2500XCounselorProfessionalLPC004144GEORGIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

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