# COVENANT OF LOVE MARRIAGE MINISTRY, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1194097733
- **Authorized official:** DR. THERESA PAYNE GREENE LCPC (LICENSED CLINICAL PASTORAL COUNSELO)
- **Authorized official phone:** (336) 855-7912

## Contact information

- **Practice address:** 2514 DENVER DR, GREENSBORO, NC 27406-6304
- **Practice address phone:** (336) 855-7912
- **Practice address fax:** (336) 852-9858
- **Mailing address:** 2514 DENVER DR, GREENSBORO, NC 27406-6304
- **Mailing address phone:** (336) 855-7912
- **Mailing address fax:** (336) 852-9858

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YP1600X | Pastoral Counselor | 0997348 | NC | Yes |

## Other

- **Enumeration date:** 01/28/2012
- **Last updated:** 01/28/2012