Provider Demographics
NPI:1285367334
Name:ZAK CONWAY PSYCHOTHERAPY SERVICES, LLC.
Entity type:Organization
Organization Name:ZAK CONWAY PSYCHOTHERAPY SERVICES, LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:ZAK
Authorized Official - Middle Name:
Authorized Official - Last Name:CONWAY
Authorized Official - Suffix:
Authorized Official - Credentials:LPC, LAC
Authorized Official - Phone:970-761-9908
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:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-07-06
Last Update Date:2022-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)