Healthcare Provider Details

I. General information

NPI: 1205598356
Provider Name (Legal Business Name): TIMOTHY CONWAY LPC, ACS, NCC, NCSC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/06/2021
Last Update Date: 03/18/2026
Certification Date: 03/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1280 ROUTE 46 STE 8
PARSIPPANY NJ
07054-4914
US

IV. Provider business mailing address

1280 ROUTE 46 STE 8
PARSIPPANY NJ
07054-4914
US

V. Phone/Fax

Practice location:
  • Phone: 973-908-1917
  • Fax: 888-252-3909
Mailing address:
  • Phone: 973-908-1917
  • Fax: 888-252-3909

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number37PC00484600
License Number StateNJ
# 2
Primary TaxonomyN
Taxonomy Code101YS0200X
TaxonomySchool Counselor
License Number
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: