The Covenant House

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

THE COVENANT HOUSE

Practice address

201 Fairoaks CT
Stockbridge, GA 30281-1192

Phone

(404) 903-7419

NPI assigned

Nov 18, 2009

Last updated

Nov 18, 2009By 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

Edelene McNeal

Title

Owner

Phone

(404) 903-7419

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1258502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1258502400000",
    "number": "1356679039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 FAIROAKS CT",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302811192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 FAIROAKS CT",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302811192",
            "telephone_number": "404-903-7419"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE COVENANT HOUSE",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-18",
        "last_updated": "2009-11-18",
        "status": "A",
        "authorized_official_last_name": "MCNEAL",
        "authorized_official_first_name": "EDELENE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "404-903-7419"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Keang Thai, PA
• Linda Ann Thames, DNP, APRN,BC
• Jasmine Tharpe
• The Calla Lily LLC (The Social Wellness Club)
• The Complexx Medical Solutions
• The Doctor's Office, LLC
• The Doctor's Office, LLC
• The Doctor's Office, LLC
• The Drisinexpress
• The Eye Den LLC (The Eye Den)

• Community/Behavioral Health Agency in Stockbridge, GA
• Providers in Stockbridge, GA by specialty
• Community/Behavioral Health Agency in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2009; 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.