Organization
COVENANT CASE MANAGEMENT SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFERY SCOTT PHILLIPS MBA, QP (CLINICAL DIRECTOR)
(980) 284-1639
Entity
Organization
Contact information
Practice address
9940 MONROE RD STE 201-202, MATTHEWS, NC 28105-5347
(980) 284-1639
(704) 908-0251
Mailing address
9940 MONROE RD, MATTHEWS, NC 28105-5417
(704) 249-7418
(704) 908-0251
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103K00000X
Behavior Analyst
—
—
103T00000X
Psychologist
—
—
133V00000X
Registered Dietitian
—
—
163W00000X
Registered Nurse
—
—
175T00000X
Peer Specialist
—
—
225100000X
Physical Therapist
—
—
225800000X
Recreation Therapist
—
—
225C00000X
Rehabilitation Counselor
—
—
225X00000X
Occupational Therapist
—
—
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
04/27/2010
Last updated
07/11/2022
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