Jacqueline Conway

NPI 1063045748 · on the registry since 2020 · sole proprietor

Practice

Address: 315 W Ponce De Leon Ave
Decatur, GA 30030
Phone: (413) 374-5443
Organisation at this address: Heart Tree Llc
Psych Care Atl
Authentic Living
Amitha Dhingra Llc
Elle Counseling, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 75

Registry record

Primary taxonomy: 101YP2500X
101YP2500X
Licence states on file: GA
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2020-02-20

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia