# COVENANT PSYCHIATRIC AND MENTAL HEALTH SERVICES, LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** COVENANT PSYCHIATRIC AND MENTAL HEALTH SERVICES, LLC
- **Other names:** Covenant Psychiatric Services
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1235772575
- **Legal business name:** COVENANT PSYCHIATRIC AND MENTAL HEALTH SERVICES, LLC
- **Authorized official:** FOLAKE ALOBA (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (202) 361-5925

## Contact information

- **Practice address:** 8507 OXON HILL RD \# S200-4, FORT WASHINGTON, MD 20744-4766
- **Practice address phone:** (301) 747-4460
- **Practice address fax:** (301) 747-4576
- **Mailing address:** 2607 BOX TREE DR, UPPER MARLBORO, MD 20774-9306
- **Mailing address phone:** (202) 361-5925

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 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 | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 10/18/2019
- **Last updated:** 10/25/2019