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COVENANT COUNSELING MINISTRIES INC NPI 1629177290


NPI Information

NPI: 1629177290
Provider Name: COVENANT COUNSELING MINISTRIES INC
Classification: Registered Nurse - 163WP0809X
Entity Type: Organization

Specialization: Psychiatric/Mental Health, Adult

Address:
907 SETON DR
CUMBERLAND, MD
ZIP 21502
Phone: (301) 777-0633
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COVENANT COUNSELING MINISTRIES INC is a psychiatric/mental health and adult registered nurse in Cumberland, MD. COVENANT COUNSELING MINISTRIES INC NPI is 1629177290. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

907 SETON DR
CUMBERLAND, MD
ZIP 21502-817
Phone: (301) 777-0633
Fax: (240) 362-7110

The provider's authorized official is Sherrell Faith Campbell .
The authorized official title is Director and has the following contact phone number (301) 777-0633.

The enumeration date for this NPI number is 9/21/2006 and was last updated on 9/4/2012.


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
1101YP2500XCounselorProfessionalLC2243MARYLANDNo
2163WP0809XRegistered NursePsychiatric/Mental Health, AdultR063139MARYLANDNo
3251S00000XCommunity/Behavioral HealthR067998MARYLANDNo
4163WP0809XRegistered NursePsychiatric/Mental Health, AdultR067998MARYLANDYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1953LMEDICARE ID-TYPE UNSPECIFIEDMARYLAND

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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