| Doctor Name: | AMY CONWAY |
| NPI Number: | 1003241431 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LPC |
| License Number: | 2835 |
| Business Practice Address: | 7400 Roper Ln Daphne, AL - 365265274 |
| Business Phone Number: | 2513786500 |
| Business Fax Number: | 2513786560 |
| Mailing Address: | 5750a Southland Dr, MOBILE |
| State: | AL |
| Postal Code: | 366933316 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 09/04/2013 |
| NPI Last Update Date: | 09/04/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | 2835 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AL |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |