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Organization
COVENANT PSYCHIATRIC AND MENTAL HEALTH SERVICES, LLC
Active
Organization
COVENANT PSYCHIATRIC AND MENTAL HEALTH SERVICES, LLC
Active
Parent organization
COVENANT PSYCHIATRIC AND MENTAL HEALTH SERVICES, LLC
Other names
Covenant Psychiatric Services
Organization subpart
Yes
Provider details
NPI number
Legal business name
COVENANT PSYCHIATRIC AND MENTAL HEALTH SERVICES, LLC
Authorized official
FOLAKE ALOBA (EXECUTIVE DIRECTOR)
(202) 361-5925
Entity
Organization
Contact information
Practice address
8507 OXON HILL RD # S200-4, FORT WASHINGTON, MD 20744-4766
(301) 747-4460
(301) 747-4576
Mailing address
2607 BOX TREE DR, UPPER MARLBORO, MD 20774-9306
(202) 361-5925
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
—
NULL
103TC1900X
Counseling Psychologist
—
—
1041C0700X
Clinical Social Worker
—
NULL
1041C0700X
Clinical Social Worker
—
—
363LF0000X
Family Nurse Practitioner
—
NULL
363LF0000X
Family Nurse Practitioner
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
10/18/2019
Last updated
10/25/2019
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