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Organization

COVENANT KIDS INC

Active
Other names
CK Family Services
Organization subpart
No

Provider details

NPI number
Authorized official
LORIE GIBSON (EXECUTIVE ADMINISTRATOR)
(817) 516-9100
Entity
Organization

Contact information

Practice address
201 N RUPERT ST STE 133, FORT WORTH, TX 76107-1465
(817) 516-9100
(817) 516-9102
Mailing address
PO BOX 173038, ARLINGTON, TX 76003-3038
(817) 516-9100
(817) 516-9102

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
59857
TX
103TC2200X
Clinical Child & Adolescent Psychologist
32661
TX
251B00000X
Case Management Agency

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
164283701
TX
Enumeration date
05/09/2007
Last updated
05/13/2026
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