=====================================================
General NPI Number Information
=====================================================
NPI Number | 1578498713
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | CRYSTAL COLIN
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 06/17/2026
-----------------------------------------------------
Last Update Date | 06/17/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 3636 N CAUSEWAY BLVD STE 201
-----------------------------------------------------
City | METAIRIE
-----------------------------------------------------
State | LA
-----------------------------------------------------
Zip | 70002-7215
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 225-402-2436
-----------------------------------------------------
Fax | 225-255-2820
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 38105 POST OFFICE RD STE 8
-----------------------------------------------------
City | PRAIRIEVILLE
-----------------------------------------------------
State | LA
-----------------------------------------------------
Zip | 70769-4296
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 225-402-2436
-----------------------------------------------------
Fax | 225-255-2820
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 101YP2500X
-----------------------------------------------------
Taxonomy Name | Professional Counselor
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------