Individual
LUEVONIA PAYTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
110 HUNTERS GLN, FAYETTEVILLE, GA 30215-1914
(404) 219-3143
Mailing address
PO BOX 142997, FAYETTEVILLE, GA 30214-6524
(404) 219-3143
(866) 311-8215
Taxonomy
Speciality
Code
Description
License number
State
101YP1600X
Pastoral Counselor
Primary
—
—
Other
Enumeration date
04/25/2017
Last updated
09/20/2021
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