MEDICARE: MRS. MEGAN LAUREL COLLINS MA, LCMHC, 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	15578	NC

General Provider Information

NPI Number	:	1790499507
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. MEGAN LAUREL COLLINS MA, LCMHC, NCC

Provider Business Mailing Address
First Line	:	474 OAKGROVE CHURCH RD
Second Line	:
City	:	LUMBERTON
State	:	NC
Zip	:	28360-3013
Country	:	US
Telephone Number	:	910-474-8842
Fax Number	:

Provider Business Practice Location Address
First Line	:	474 OAKGROVE CHURCH RD
Second Line	:
City	:	LUMBERTON
State	:	NC
Zip	:	28360-3013
Country	:	US
Telephone Number	:	910-474-8842
Fax Number	:

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

Provider Enumeration Date	:	01/06/2023
Last Update Date	:	01/06/2023

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