Organization
COVENANT 21ST CENTURY MINISTRIES, INC
Active
Other names
Covenant Place
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PORTIA DENEEN RAWLES PSY D (CLINICAL DIRECTOR)
(757) 493-2912
Entity
Organization
Contact information
Practice address
260 FILBERT ST, NORFOLK, VA 23505-4410
(757) 493-2912
(757) 493-2913
Mailing address
5301 PROVIDENCE RD, SUITE 20, VIRGINIA BEACH, VA 23464-4128
(757) 493-2912
(757) 493-2913
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
80714001
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1508036054
—
VA
Enumeration date
03/11/2008
Last updated
04/14/2009
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