Covenant Counseling Center
Organization Active NPI Community/Behavioral Health Agency · Eureka, CA
NPI 1497923312 · NPPES record last updated Feb 13, 2008
Key facts
- NPI
- 1497923312
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Behavioral Health Agency 251S00000X
- License
- 125001555 (CA)
- Legal business name
- COVENANT COUNSELING CENTER
- Practice address
- 3960 Walnut Drive
Eureka, CA 95503 - Phone
- (707) 268-8722
- Fax
- (707) 268-0218
- NPI assigned
- Feb 13, 2008
- Organization subpart
- No
Authorized official
- Name
- Mr. John W Tillery, CPA
- Title
- Executive Director
- Phone
- (530) 245-5805
Practitioners 198
-
Erica Ashby, LCSW
-
Nathan Ask, B.A.
-
Brian G. Barnes, LCSW
-
Kyle Blaylock, ACSW
-
Sharon Border, BA
-
Alison Dawn Calhoun, R.S.
-
Erika Campbell, MHRS
-
Leslie Castellano, B.A.
National Provider Directory
Locations
393 Park Marina Cir
Redding, CA 96001
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | 125001555 | CA | Yes |
Addresses
Primary practice location
3960 Walnut Drive
Eureka, CA 95503
Mailing address
393 Park Marina Circle
Redding, CA 96001
Phone (530) 245-5805
Other names
- six rivers counseling
Other providers in Eureka, CA
- County of Humboldt
- County of Humboldt
- County of Humboldt
- Court Appointed Special Advocate of Humboldt
- Michelle Rene Courtois
- Covered Bridge Medical and Counseling Services
- Kristen Cowan
- Rachel Cox
- Aaron Coyle
- CP Humboldt N-Ca HH, LLC
All providers in Eureka, CA · Community/Behavioral Health Agency in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 13, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.