Provider Demographics
NPI:1811259625
Name:CONLEY, JANNA BETH (MS , LMHCA)
Entity type:Individual
Prefix:MRS
First Name:JANNA
Middle Name:BETH
Last Name:CONLEY
Suffix:
Gender:F
Credentials:MS , LMHCA
Other - Prefix:MS
Other - First Name:JANNA
Other - Middle Name:BETH
Other - Last Name:PITTS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:BS CAP
Mailing Address - Street 1:750 W US HIGHWAY 64
Mailing Address - Street 2:
Mailing Address - City:MURPHY
Mailing Address - State:NC
Mailing Address - Zip Code:28906-8115
Mailing Address - Country:US
Mailing Address - Phone:828-837-0071
Mailing Address - Fax:828-837-5309
Practice Address - Street 1:750 W US HIGHWAY 64
Practice Address - Street 2:
Practice Address - City:MURPHY
Practice Address - State:NC
Practice Address - Zip Code:28906-8115
Practice Address - Country:US
Practice Address - Phone:828-837-0071
Practice Address - Fax:828-837-5309
Is Sole Proprietor?:No
Enumeration Date:2012-06-08
Last Update Date:2024-12-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC101YP2500X
222Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No222Q00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersDevelopmental Therapist