# COVENANT COUNSELING CENTER, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1023358736
- **Authorized official:** MONICA CLAYTON LMFT (OWNER)
- **Authorized official phone:** (321) 872-7720

## Contact information

- **Practice address:** 259 LIVE OAKS BLVD, CASSELBERRY, FL 32707-3829
- **Practice address phone:** (321) 872-7720
- **Practice address fax:** (267) 203-7063
- **Mailing address:** PO BOX 681397, ORLANDO, FL 32868-1397
- **Mailing address phone:** (321) 872-7720
- **Mailing address fax:** (267) 203-7063

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101Y00000X | Counselor | — | NULL | — |
| 101Y00000X | Counselor | — | — | — |
| 101YP2500X | Professional Counselor | — | NULL | — |
| 101YP2500X | Professional Counselor | — | — | — |
| 106H00000X | Marriage & Family Therapist | MT2564 | FL | Yes |
| 261QM0801X | Mental Health Clinic/Center (Including Community Mental Health Center) | — | NULL | — |
| 261QM0850X | Adult Mental Health Clinic/Center | — | NULL | — |
| 261QM0855X | Adolescent and Children Mental Health Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 02/18/2013
- **Last updated:** 03/16/2018