Healthcare Provider Details

I. General information

NPI: 1790602290
Provider Name (Legal Business Name): DIRECT TO GOD COUNSELING AND CONSULTING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/04/2026
Last Update Date: 07/04/2026
Certification Date: 07/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 STAYMAN CT APT F
CATONSVILLE MD
21228-6030
US

IV. Provider business mailing address

9091 SNOWDEN RIVER PKWY # 1288
COLUMBIA MD
21046-1657
US

V. Phone/Fax

Practice location:
  • Phone: 410-205-9393
  • Fax:
Mailing address:
  • Phone: 410-205-9393
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: DR. JENNIFER SHEPARD PAYNE
Title or Position: OWNER
Credential: PHD, LCSW, LCSW-C
Phone: 410-205-9393