MEDICARE: CLARE CONWAY LPCC, ATR, RYT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	221700000X	Art Therapist	21-044	OH
2	101Y00000X	Counselor	E.2303454	OH

General Provider Information

NPI Number	:	1891465621
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CLARE CONWAY LPCC, ATR, RYT

Provider Business Mailing Address
First Line	:	6200 FIR AVE
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44102-3913
Country	:	US
Telephone Number	:	440-426-2000
Fax Number	:

Provider Business Practice Location Address
First Line	:	11328 EUCLID AVE APT 203
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44106-3978
Country	:	US
Telephone Number	:	216-453-8073
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/14/2021
Last Update Date	:	06/06/2024

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Directions to “ CLARE CONWAY LPCC, ATR, RYT” Practice Location

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