Organization
INTEGRATIVE PSYCHOLOGY & COUNSELING SPECIALISTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ABRIELLE DAWN CONWAY PSC (OWNER, LICESNED PSYCHOLOGIST)
(270) 215-2373
Entity
Organization
Contact information
Practice address
102 WINSTON WAY, SUITE A, CAMPBELLSVILLE, KY 42718-1593
(270) 215-2373
(888) 975-1981
Mailing address
102 WINSTON WAY, SUITE A, CAMPBELLSVILLE, KY 42718-1593
(270) 215-2373
(888) 975-1981
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
106483
KY
103TC0700X
Clinical Psychologist
Primary
130473
KY
1041C0700X
Clinical Social Worker
KY1771
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
130473
MEDICAL LICENSE
KY
05
—
7100323430
—
KY
Enumeration date
05/12/2017
Last updated
05/12/2017
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