My Covenant Place

LBN: My Covenant Place
My Covenant Place is an health care organization with primary practice located at 9701 Apollo Dr Ste 4114Th , Largo MD 20774-4783. The organization recently has only one registered license in Agencies / Community/Behavioral Health, which is considered as the primary health care specialty. My Covenant Place can be contacted via phone (301) 577-7307, or through Carter, Latisha via phone (301) 577-7307.

Contact Information

Primary practice address
9701 Apollo Dr Ste 4114Th Largo MD 20774-4783
Phone: (301) 577-7307
Fax: (301) 476-0076
Website:
Map and Directions
Authorized official contact:
Name: Carter, Latisha
Phone: (301) 577-7307

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X Maryland

Profile Details

NPI number 1164853669
LBN Legal business name My Covenant Place
DBA Doing business as
Authorized official Carter, Latisha
Entity Organization
Organization subpart 1 No
Enumeration date Dec 9th, 2013
Last updated Jan 9th, 2023 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1164853669 NPPES
Maryland MEDICAID 19125M99

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