Provider Demographics
NPI:1558599902
Name:CONWAY, CATHERINE A (LCPC)
Entity type:Individual
Prefix:
First Name:CATHERINE
Middle Name:A
Last Name:CONWAY
Suffix:
Gender:F
Credentials:LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1805 N MILL ST STE L
Mailing Address - Street 2:
Mailing Address - City:NAPERVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:60563-4860
Mailing Address - Country:US
Mailing Address - Phone:331-229-3123
Mailing Address - Fax:331-226-0780
Practice Address - Street 1:2461 10TH ST STE 6&7
Practice Address - Street 2:
Practice Address - City:CORALVILLE
Practice Address - State:IA
Practice Address - Zip Code:52241-1201
Practice Address - Country:US
Practice Address - Phone:331-229-3123
Practice Address - Fax:331-226-0780
Is Sole Proprietor?:No
Enumeration Date:2009-06-24
Last Update Date:2025-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA105216101YP2500X
IL180.004294101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional