Provider Demographics
NPI:1932316999
Name:REGAN, COLLEEN E (LPC, NCC)
Entity Type:Individual
Prefix:
First Name:COLLEEN
Middle Name:E
Last Name:REGAN
Suffix:
Gender:F
Credentials:LPC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12335 HYMEADOW DR.
Mailing Address - Street 2:SUITE 450 COLLEEN REGAN
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78750
Mailing Address - Country:US
Mailing Address - Phone:512-771-7423
Mailing Address - Fax:512-331-4103
Practice Address - Street 1:12335 HYMEADOW DR.
Practice Address - Street 2:SUITE 450 COLLEEN REGAN
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78750
Practice Address - Country:US
Practice Address - Phone:512-771-7423
Practice Address - Fax:512-331-4103
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX17676101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional