Provider Demographics
NPI:1154476521
Name:GANAWAY & GANAWAY INC
Entity Type:Organization
Organization Name:GANAWAY & GANAWAY INC
Other - Org Name:WILLIAM T. GANAWAY PHD
Other - Org Type:Doing Business As
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:LYN
Authorized Official - Middle Name:S
Authorized Official - Last Name:GANAWAY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:561-624-3004
Mailing Address - Street 1:818 US HIGHWAY 1
Mailing Address - Street 2:SUITE 5
Mailing Address - City:NORTH PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33408-3831
Mailing Address - Country:US
Mailing Address - Phone:561-624-3004
Mailing Address - Fax:561-624-1855
Practice Address - Street 1:818 US HIGHWAY 1
Practice Address - Street 2:SUITE 5
Practice Address - City:NORTH PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33408-3831
Practice Address - Country:US
Practice Address - Phone:561-624-3004
Practice Address - Fax:561-624-1855
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-24
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLISW6511041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty