Organization
COVENANT COUNSELING CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. AMANDA BRIGHT TAYLOR (OFFICE MANAGER)
(423) 765-0607
Entity
Organization
Contact information
Practice address
441 CLAY ST STE 2, KINGSPORT, TN 37660-3693
(423) 765-0607
(423) 247-1117
Mailing address
PO BOX 1323, KINGSPORT, TN 37662-1323
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
08/07/2019
Last updated
08/07/2019
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