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Organization
KINGDOM CREATIVE COUNSELING PLLC
Active
Organization
KINGDOM CREATIVE COUNSELING PLLC
Active
Other names
Samaria M Colbert
Organization subpart
No
Provider details
NPI number
Authorized official
SAMARIA M COLBERT LCSW (OWNER)
(336) 543-0159
Entity
Organization
Contact information
Practice address
1050 REVOLUTION MILL DR STE 2, GREENSBORO, NC 27405-5053
(336) 543-0159
(336) 663-2906
Mailing address
PO BOX 14222, GREENSBORO, NC 27415-4222
(336) 543-0159
(336) 663-2906
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
C007049
NC
101YP2500X
Professional Counselor
C007049
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1699077396
—
NC
Enumeration date
05/22/2017
Last updated
12/18/2024
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