Provider Demographics
NPI:1740077668
Name:COLON, EMILY
Entity type:Individual
Prefix:
First Name:EMILY
Middle Name:
Last Name:COLON
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6906 ANDERSONS WAY APT 101
Mailing Address - Street 2:
Mailing Address - City:LAUREL
Mailing Address - State:MD
Mailing Address - Zip Code:20707-5295
Mailing Address - Country:US
Mailing Address - Phone:475-216-9461
Mailing Address - Fax:
Practice Address - Street 1:6906 ANDERSONS WAY APT 101
Practice Address - Street 2:
Practice Address - City:LAUREL
Practice Address - State:MD
Practice Address - Zip Code:20707-5295
Practice Address - Country:US
Practice Address - Phone:475-216-9461
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-23
Last Update Date:2025-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD31081101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health