Organization
GRACE & PEACE
Active
Parent organization
CONSTANT ELEVATION, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
CONSTANT ELEVATION, LLC
Authorized official
MR. DEMARCO FELICIANO ODOM (CEO)
(336) 437-4117
Entity
Organization
Contact information
Practice address
421 W 26TH ST, WINSTON SALEM, NC 27105-5016
(336) 437-4117
(336) 217-8517
Mailing address
421 W 26TH ST, WINSTON SALEM, NC 27105-5016
(336) 437-4117
(336) 217-8517
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
02/13/2015
Last updated
02/13/2015
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