Organization
COVENANT COUNSELING CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MONICA CLAYTON LMFT (OWNER)
(321) 872-7720
Entity
Organization
Contact information
Practice address
259 LIVE OAKS BLVD, CASSELBERRY, FL 32707-3829
(321) 872-7720
(267) 203-7063
Mailing address
PO BOX 681397, ORLANDO, FL 32868-1397
(321) 872-7720
(267) 203-7063
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YP2500X
Professional Counselor
—
—
106H00000X
Marriage & Family Therapist
Primary
MT2564
FL
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
02/18/2013
Last updated
03/16/2018
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