Covenant Psychiatric And Mental Health Services, LLC
Nurse Practitioner, Psych/Mental Health in Fort Washington, MD. Organization (NPI-2).
NPI number1235772575
StatusActive
Last updated in NPPESOct 25, 2019
Details
- NPI
- 1235772575
- Entity type
- Organization (NPI-2)
- Legal business name
- Covenant Psychiatric And Mental Health Services, LLC
- Organization subpart
- Yes
- Enumeration date
- Oct 18, 2019
- Last updated
- Oct 25, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LP0808X | Nurse Practitioner, Psych/Mental Health | – | – | Yes |
| 103TC1900X | Psychologist, Counseling | – | – | |
| 1041C0700X | Social Worker, Clinical | – | – | |
| 363LF0000X | Nurse Practitioner, Family | – | – |
Other names
- Covenant Psychiatric Services (Doing Business As)
Practice location
8507 Oxon Hill Rd # S200-4Fort Washington, MD 20744-4766
Phone 301-747-4460 · Fax 301-747-4576
Mailing address
2607 Box Tree DrUpper Marlboro, MD 20774-9306
Phone 202-361-5925
Authorized official
Folake Aloba
Executive Director
2023615925
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