Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
COVENANT RECOVERY CENTER LLC
Active
Organization
COVENANT RECOVERY CENTER LLC
Active
Other names
Covenant Recovery Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KENNETH DEAN WILLIS MD (SOLE MEMBER)
(256) 882-2003
Entity
Organization
Contact information
Practice address
3007 MEMORIAL PKWY SW STE C, HUNTSVILLE, AL 35801-5394
(256) 882-2003
(256) 705-4630
Mailing address
3007 MEMORIAL PKWY SW STE C, HUNTSVILLE, AL 35801-5394
(256) 882-2003
(256) 705-4630
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
01/09/2018
Last updated
01/09/2018
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up