Covenant Care Community Service Inc

Primary specialty

PsychologistTaxonomy code 103T00000X

License

1572 Issued in NC

Legal business name

COVENANT CARE COMMUNITY SERVICE INC

Practice address

9536 Bells Valley Dr
Raleigh, NC 27617-7604

Phone

(919) 848-3480

Fax

(919) 848-3498

NPI assigned

Aug 5, 2010

Last updated

Aug 5, 2010By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. James Adkins

Title

Ceo

Phone

(919) 848-3480

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1280966400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1280966400000",
    "number": "1215241906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9536 BELLS VALLEY DR",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276177604",
            "telephone_number": "919-848-3480",
            "fax_number": "919-848-3498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9536 BELLS VALLEY DR",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276177604",
            "telephone_number": "919-848-3480",
            "fax_number": "919-848-3498"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COVENANT CARE COMMUNITY SERVICE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-05",
        "last_updated": "2010-08-05",
        "status": "A",
        "authorized_official_last_name": "ADKINS",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "919-848-3480",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NC",
            "license": "1572",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cecelia Courville
• Kiesha Laquantia Cousar
• Destiny Coutcher, LCMHC-A
• Shannon Dorothy Couture, NP-C
• Loretta J Cova, R.PH.
• Covenant Community Partners LLC
• Winona Coveney, LCSWA
• Kelli Mack Covert, CRNA
• Elizabeth Coviello, DO
• Covington House of Raleigh,LLC (Pine Tree Villa)

• Psychologist in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Psychologist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.