Provider Demographics
NPI:1790499507
Name:COLLINS, MEGAN LAUREL (MA, LCMHC, NCC)
Entity Type:Individual
Prefix:MRS
First Name:MEGAN
Middle Name:LAUREL
Last Name:COLLINS
Suffix:
Gender:F
Credentials:MA, LCMHC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:474 OAKGROVE CHURCH RD
Mailing Address - Street 2:
Mailing Address - City:LUMBERTON
Mailing Address - State:NC
Mailing Address - Zip Code:28360-3013
Mailing Address - Country:US
Mailing Address - Phone:910-474-8842
Mailing Address - Fax:
Practice Address - Street 1:474 OAKGROVE CHURCH RD
Practice Address - Street 2:
Practice Address - City:LUMBERTON
Practice Address - State:NC
Practice Address - Zip Code:28360-3013
Practice Address - Country:US
Practice Address - Phone:910-474-8842
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-01-06
Last Update Date:2023-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC15578101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health