# THE DELIVERANCE OVERCOMING CHURCH OF GOD

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

## Provider details

- **NPI number:** 1619634078
- **Authorized official:** MR. ANDRAE D MAZE MBA (CEO / SENIOR PASTOR)
- **Authorized official phone:** (216) 287-5031

## Contact information

- **Practice address:** 7201 QUINCY AVE, CLEVELAND, OH 44104-1942
- **Practice address phone:** (216) 391-7289
- **Mailing address:** PO BOX 1945, MEDINA, OH 44258-1945
- **Mailing address phone:** (216) 391-7289

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YP1600X | Pastoral Counselor | — | NULL | — |
| 101YP1600X | Pastoral Counselor | — | — | — |
| 374K00000X | Religious Nonmedical Practitioner | — | NULL | Yes |
| 374K00000X | Religious Nonmedical Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 11/19/2021
- **Last updated:** 11/19/2021