Lawrence, Colleen

Lawrence, Colleen is an individual health care provider with primary practice located at 1191 Lakewood Rd , Toms River NJ 08753-4172. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Lawrence, Colleen can be contacted via phone (732) 703-4127.

Contact Information

Primary practice address
1191 Lakewood Rd Toms River NJ 08753-4172
Phone: (732) 703-4127
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 37LC00213700 New Jersey
Behavioral Health & Social Service Providers / Professional 101YP2500X 37PC00666400 New Jersey

Profile Details

NPI number 1740844646
LBN Legal business name Lawrence, Colleen
Credentials LPC, LCADC
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 25th, 2019
Last updated Apr 25th, 2019 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1740844646 NPPES
New Jersey MEDICAID 0029807

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