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COVENANT RECOVERY CENTER LLC NPI 1366959561


NPI Information

NPI: 1366959561
Provider Name: COVENANT RECOVERY CENTER LLC

Doing Business As: COVENANT RECOVERY CENTER

Classification: Counselor - 101YA0400X
Entity Type: Organization

Specialization: Addiction (Substance Use Disorder)

Address:
3007 MEMORIAL PKWY SW STE C
HUNTSVILLE, AL
ZIP 35801
Phone: (256) 882-2003
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COVENANT RECOVERY CENTER LLC is an addiction (substance use disorder) counselor in Huntsville, AL. COVENANT RECOVERY CENTER LLC NPI is 1366959561. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Covenant Recovery Center.

The provider's business location address is:

3007 MEMORIAL PKWY SW STE C
HUNTSVILLE, AL
ZIP 35801-394
Phone: (256) 882-2003
Fax: (256) 705-4630

The provider's authorized official is Kenneth Dean Willis .
The authorized official title is Sole Member and has the following contact phone number (256) 882-2003.

The enumeration date for this NPI number is 1/9/2018 and was last updated on 1/9/2018.


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
1101YA0400XCounselorAddiction (Substance Use Disorder)Yes

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: 11/14/2023

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