Organization · Type 2 NPI

Covenant Psychiatric and Mental Health Services, LLC

Psychiatric/Mental Health Nurse Practitioner · Fort Washington, MD

NPI number 1235772575 Active

Practice location

8507 Oxon Hill Rd # S200-4
Fort Washington, MD 20744-4766

Call (301) 747-4460 Map

Fax (301) 747-4576

Mailing address

2607 Box Tree Dr
Upper Marlboro, MD 20774-9306

Specialties and licenses

Taxonomy	Code	License
Counseling Psychologist	103TC1900X	None listed
Clinical Social Worker	1041C0700X	None listed
Family Nurse Practitioner	363LF0000X	None listed
Psychiatric/Mental Health Nurse Practitioner Primary	363LP0808X	None listed

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NPI record

NPI: 1235772575
Entity type: Organization (Type 2)
Issued: Oct 18, 2019
Last updated: Oct 25, 2019
Status: Active
Subpart: Yes of Covenant Psychiatric and Mental Health Services, LLC

Other names

<unavail>
Covenant Psychiatric Services · doing business as
Covenant Psychiatric Services · doing business as

Authorized official

Folake Aloba
Executive Director
(202) 361-5925

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1235772575

Covenant Psychiatric and Mental Health Services, LLC's National Provider Identifier is 1235772575, issued on Oct 18, 2019. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Fort Washington, MD. The record was last updated on Oct 25, 2019.