Healthcare Provider Details

I. General information

NPI: 1912272410
Provider Name (Legal Business Name): COLLEEN ELIZABETH NEUER LPCA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/15/2012
Last Update Date: 05/15/2026
Certification Date: 05/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

146 WAGON DR
BRACEY VA
23919-2946
US

IV. Provider business mailing address

146 WAGON DR
BRACEY VA
23919-2946
US

V. Phone/Fax

Practice location:
  • Phone: 252-204-9522
  • Fax:
Mailing address:
  • Phone: 252-204-9522
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberA9302
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: