COVENANT YOUTH EMPOWERMENT LLC NPI 1811147309

NPI Information

NPI: 1811147309
Provider Name: COVENANT YOUTH EMPOWERMENT LLC
Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

Address:
1806 CHEDWORTH LN
STONE MOUNTAIN, GA
ZIP 30087
Phone: (404) 403-1253
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COVENANT YOUTH EMPOWERMENT LLC is a mental health counselor in Stone Mountain, GA. COVENANT YOUTH EMPOWERMENT LLC NPI is 1811147309. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1806 CHEDWORTH LN
STONE MOUNTAIN, GA
ZIP 30087-118
Phone: (404) 403-1253

The provider's authorized official is Steven Roche .
The authorized official title is Administrator and has the following contact phone number (404) 403-1253.

The enumeration date for this NPI number is 9/22/2008 and was last updated on 8/23/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	2084P0804X	Psychiatry & Neurology	Child & Adolescent Psychiatry	No
2	2084P0800X	Psychiatry & Neurology	Psychiatry	No
3	101YM0800X	Counselor	Mental Health	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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