Covenant Family Practice 2LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

COVENANT FAMILY PRACTICE 2LLC

Practice address

123B Center Pointe Dr
Clarksville, TN 37040-8424

Phone

(404) 943-0205

NPI assigned

Jul 24, 2007

Organization subpart

No

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

Authorized official

Name

Alicia Holden, ACCOUNTING

Title

Lead

Phone

(404) 943-0205

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1185235200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1185235200000",
    "number": "1609076041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 468329",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "311468329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123B CENTER POINTE DR",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370408424",
            "telephone_number": "404-943-0205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COVENANT FAMILY PRACTICE 2LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-24",
        "last_updated": "2007-07-24",
        "status": "A",
        "authorized_official_last_name": "HOLDEN",
        "authorized_official_first_name": "ALICIA",
        "authorized_official_title_or_position": "LEAD",
        "authorized_official_telephone_number": "404-943-0205",
        "authorized_official_credential": "ACCOUNTING"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christine Elizabeth Courtney, LCSW
• Emilio Cousin
• Matthew Kent Couts, BS
• Covenant Family Practice
• Covenant Family Practice
• Covenant Family Practice, PC
• Camilla Denise Covington, P.T.
• Jill Covington, OTR/L
• Laura Cowell
• Briana Nicole-Lynn Cox, MS, CCC-SLP

• Clinic/Center in Clarksville, TN
• Providers in Clarksville, TN by specialty
• Clinic/Center in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2007; 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.