COVENANT COUNSELING & CONSULTATION SERVICES NPI 1548670359

NPI Information

NPI: 1548670359
Provider Name: COVENANT COUNSELING & CONSULTATION SERVICES
Classification: Counselor - 101YP2500X
Entity Type: Organization

Specialization: Professional

CLIA Number: 44D0861048

Address:
3214 TAZEWELL PIKE STE 203
KNOXVILLE, TN
ZIP 37918
Phone: (865) 254-6045
Get Directions

COVENANT COUNSELING & CONSULTATION SERVICES is a professional counselor in Knoxville, TN. COVENANT COUNSELING & CONSULTATION SERVICES NPI is 1548670359. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

3214 TAZEWELL PIKE STE 203
KNOXVILLE, TN
ZIP 37918-578
Phone: (865) 254-6045
Fax: (865) 337-7382

The provider's authorized official is Donna Juanita Mitchell .
The authorized official title is President/ceo and has the following contact phone number (865) 254-6045.

The CLIA number assigned to this NPI record is 44D0861048 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/1/2014 and was last updated on 11/3/2016.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	104100000X	Social Worker		LSW0000007798	TENNESSEE	No
2	101YP2500X	Counselor	Professional	LPC0000001551	TENNESSEE	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	6047941	MEDICAID	TENNESSEE

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

NPI Synchronization or Removal

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