# COVINGTON COUNTY HOSPITAL

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Covington Place: Therapy & Counseling
- **Organization subpart:** No

## Provider details

- **NPI number:** 1831895911
- **Authorized official:** ANISSA L EVANS (CREDENTIALING DIRECTOR)
- **Authorized official phone:** (601) 698-0328

## Contact information

- **Practice address:** 1207 S FIR AVE, COLLINS, MS 39428-3809
- **Practice address phone:** (601) 698-0263
- **Mailing address:** PO BOX 2499, COLLINS, MS 39428-2499
- **Mailing address phone:** (601) 765-2746
- **Mailing address fax:** (601) 640-1944

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM0801X | Mental Health Clinic/Center (Including Community Mental Health Center) | — | NULL | — |
| 261QM1300X | Multi-Specialty Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 02/01/2023
- **Last updated:** 04/12/2023