Covenant Counseling Center in Eureka - Community/behavioral Health
Covenant Counseling Center - NPI 1497923312
Covenant Counseling Center is a Community/behavioral Health in Eureka, California. Covenant Counseling Center practices all healthcare services and medical treatments related to Community/behavioral Health. The NPI Number for Covenant Counseling Center is 1497923312. The last update date is 2008-02-13.
Covenant Counseling Center's current location address is 3960 Walnut Drive, Eureka, California. You can contact this provider via phone number 7072688722 and fax number 7072680218. The mailing address for Covenant Counseling Center is 3960 Walnut Drive, Eureka, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Covenant Counseling Center |
|---|---|
| Address | 3960 Walnut Drive, Eureka, California |
| Phone Number | 7072688722 |
| Fax Number | 7072680218 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | EXECUTIVE |
|---|---|
| Authorized Official Name | Tillery W John |
| Credentials | CPA |
| Telephone Number | 5302455805 |
NPI Number Detail
| NPI Number | 1497923312 |
|---|---|
| Provider Enumeration Date | 2008-02-13 |
| Last Updated Date | 2008-02-13 |
Provider Mailing Address Detail
| Address | 3960 Walnut Drive |
|---|---|
| City | Eureka |
| State | California (CA) |
| Post Code | 95503 |
| Phone Number | 7072688722 |
| Fax Number | 7072680218 |
Provider's Primary Taxonomy Detail
| Speciality | Community/behavioral Health |
|---|---|
| Taxonomy | 251S00000X |
| Licence No | 125001555 |
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Definition: A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those dis |
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What is the unique identification code assigned to Covenant Counseling Center by the Centers for Medicare & Medicaid Services?
The Covenant Counseling Center has been issued the NPI (National Provider Identifier) 1497923312. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Covenant Counseling Center?
The Covenant Counseling Center is situated at 3960 Walnut Drive, in the city of Eureka, state of CA, with the zip code 95503.
What is the area of specialization for Covenant Counseling Center, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Covenant Counseling Center is Community/behavioral Health, and the corresponding taxonomy code that categorizes this area of expertise is 251S00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1497923312 to Covenant Counseling Center?
The Centers for Medicare & Medicaid Services originally issued the 1497923312 to Covenant Counseling Center on 2008-02-13.
When was the information pertaining to Covenant Counseling Center most recently updated or revised?
The details related to Covenant Counseling Center, including its address, specialty, and other relevant information, were last updated or revised on 2008-02-13.
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