Provider Demographics
NPI:1891049334
Name:CONWAY, ZACHARY (LPC, SAC)
Entity Type:Individual
Prefix:MR
First Name:ZACHARY
Middle Name:
Last Name:CONWAY
Suffix:
Gender:M
Credentials:LPC, SAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:210 SLEEPY HOLLOW LN
Mailing Address - Street 2:
Mailing Address - City:STEAMBOAT SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80487-3230
Mailing Address - Country:US
Mailing Address - Phone:970-761-9908
Mailing Address - Fax:
Practice Address - Street 1:810 LINCOLN AVE STE 200
Practice Address - Street 2:
Practice Address - City:STEAMBOAT SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80487-4972
Practice Address - Country:US
Practice Address - Phone:970-761-9908
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-11-06
Last Update Date:2022-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI5047-125101YM0800X
COLPC.0011637101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health