Organization · Type 2 NPI

Covenant Youth Empowerment LLC

Mental Health Counselor · Stone Mountain, GA

NPI number 1811147309 Active

Practice location

1806 Chedworth Ln
Stone Mountain, GA 30087-2118

Call (404) 403-1253 Map

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed
Psychiatry Physician 2084P0800XNone listed
Child & Adolescent Psychiatry Physician 2084P0804XNone listed

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About NPI 1811147309

Covenant Youth Empowerment LLC's National Provider Identifier is 1811147309, issued on Sep 22, 2008. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Stone Mountain, GA. The record was last updated on Aug 23, 2013.