MEDICARE: COLIN LAWS LGPC, NCC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	LC15947	MD

General Provider Information

NPI Number	:	1255065306
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	COLIN LAWS LGPC, NCC

Provider Business Mailing Address
First Line	:	5 E CHRISTINA PL
Second Line	:
City	:	NEWARK
State	:	DE
Zip	:	19702-2967
Country	:	US
Telephone Number	:	484-680-4856
Fax Number	:

Provider Business Practice Location Address
First Line	:	2525 AUGUSTINE HERMAN HWY STE E
Second Line	:
City	:	CHESAPEAKE CITY
State	:	MD
Zip	:	21915-1425
Country	:	US
Telephone Number	:	410-686-3629
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/14/2022
Last Update Date	:	11/06/2025

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