Organization
MY COVENANT PLACE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LATISHA CARTER (CEO/EXECUTIVE DIRECTOR)
(301) 577-7307
Entity
Organization
Contact information
Practice address
9701 APOLLO DR STE 4114TH, LARGO, MD 20774-4783
(301) 577-7307
(301) 476-0076
Mailing address
10630 LITTLE PATUXENT PKWY STE 113, COLUMBIA, MD 21044-6225
(410) 200-9290
(301) 476-0076
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
19125M99
—
MD
Enumeration date
12/09/2013
Last updated
01/09/2023
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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