Organization
COVENANT OF LOVE MARRIAGE MINISTRY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THERESA PAYNE GREENE LCPC (LICENSED CLINICAL PASTORAL COUNSELO)
(336) 855-7912
Entity
Organization
Contact information
Practice address
2514 DENVER DR, GREENSBORO, NC 27406-6304
(336) 855-7912
(336) 852-9858
Mailing address
2514 DENVER DR, GREENSBORO, NC 27406-6304
(336) 855-7912
(336) 852-9858
Taxonomy
Speciality
Code
Description
License number
State
101YP1600X
Pastoral Counselor
Primary
0997348
NC
Other
Enumeration date
01/28/2012
Last updated
01/28/2012
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