# COVENANT BIRTH CENTER, LLC

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

## Provider details

- **NPI number:** 1891978540
- **Authorized official:** MS. LISA S. BYRD LM, CPM (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (803) 794-5889

## Contact information

- **Practice address:** 1900 SUNSET BLVD, SUITE A, WEST COLUMBIA, SC 29169-5932
- **Practice address phone:** (803) 794-5889
- **Mailing address:** 1900 SUNSET BLVD, SUITE A, WEST COLUMBIA, SC 29169-5932
- **Mailing address phone:** (803) 794-5889

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QB0400X | Birthing Clinic/Center | BC-006 | SC | Yes |

## Other

- **Enumeration date:** 12/17/2007
- **Last updated:** 12/17/2007
