MEDICARE: CRYSTAL COLIN

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	101YP2500X	Professional Counselor

General Provider Information

NPI Number	:	1578498713
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CRYSTAL COLIN

Provider Business Mailing Address
First Line	:	38105 POST OFFICE RD STE 8
Second Line	:
City	:	PRAIRIEVILLE
State	:	LA
Zip	:	70769-4296
Country	:	US
Telephone Number	:	225-402-2436
Fax Number	:	225-255-2820

Provider Business Practice Location Address
First Line	:	3636 N CAUSEWAY BLVD STE 201
Second Line	:
City	:	METAIRIE
State	:	LA
Zip	:	70002-7215
Country	:	US
Telephone Number	:	225-402-2436
Fax Number	:	225-255-2820

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

Provider Enumeration Date	:	06/17/2026
Last Update Date	:	06/17/2026

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Directions to “ CRYSTAL COLIN ” Practice Location

Language	Start Address	Practice Location

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