Organization
MY COVENANT PLACE BEHAVIORAL HEALTH
Active
Parent organization
MY COVENANT PLACE BEHAVIORAL HEALTH
Organization subpart
Yes
Provider details
NPI number
Legal business name
MY COVENANT PLACE BEHAVIORAL HEALTH
Authorized official
LATISHA CARTER (CEO)
(301) 577-7307
Entity
Organization
Contact information
Practice address
9701 APOLLO DR STE 411, 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) 476-0078
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
03/23/2022
Last updated
01/09/2023
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