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COVENANT FAMILY WELLNESS LLC NPI 1235625229


NPI Information

NPI: 1235625229
Provider Name: COVENANT FAMILY WELLNESS, LLC

Doing Business As: MISFIT REFUGE COUNSELING

Classification: Counselor - 101YP2500X
Entity Type: Organization

Specialization: Professional

CLIA Number: 36D2216561

Address:
1544 VALLEY DR
REYNOLDSBURG, OH
ZIP 43068
Phone: (614) 705-0626
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COVENANT FAMILY WELLNESS, LLC is a professional counselor in Reynoldsburg, OH. COVENANT FAMILY WELLNESS, LLC NPI is 1235625229. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Misfit Refuge Counseling.

The provider's business location address is:

1544 VALLEY DR
REYNOLDSBURG, OH
ZIP 43068-649
Phone: (614) 705-0626
Fax: (844) 222-4587

The provider's authorized official is Matthew E Morgan .
The authorized official title is Ownter and has the following contact phone number (614) 705-0626.

The CLIA number assigned to this NPI record is 36D2216561 - home health agency with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/2/2018 and was last updated on 2/14/2024.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1101YP2500XCounselorProfessionalE1800509OHIOYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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