Provider Demographics
NPI:1629553847
Name:WEARY, CONWAY (CHT, LPC)
Entity Type:Individual
Prefix:MS
First Name:CONWAY
Middle Name:
Last Name:WEARY
Suffix:
Gender:F
Credentials:CHT, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1456 PATTON AVE STE D
Mailing Address - Street 2:
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28806-1760
Mailing Address - Country:US
Mailing Address - Phone:828-337-1538
Mailing Address - Fax:
Practice Address - Street 1:1456 PATTON AVE STE D
Practice Address - Street 2:
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28806-1760
Practice Address - Country:US
Practice Address - Phone:828-337-1538
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-10-03
Last Update Date:2018-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC8502101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health