Doctor Name: | GARNETT CONAWAY |
NPI Number: | 1134274632 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.ED. |
License Number: | 1580 |
Business Practice Address: | 112 John St Ste 102 The Pastoral Counseling Center Easley, SC - 296401405 |
Business Phone Number: | 8644427585 |
Business Fax Number: | 8648599648 |
Mailing Address: | 112 John St Ste 102, The Pastoral Counseling Center EASLEY |
State: | SC |
Postal Code: | 296401405 |
Phone Number: | 8644427585 |
Fax Number: | 8648599648 |
NPI Enumeration Date: | 01/24/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 1580 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | SC |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |