Covenant Community, Inc.

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

License

060403D Issued in GA

Legal business name

COVENANT COMMUNITY, INC.

Practice address

623 Spring St NW
Atlanta, GA 30308-1907

Phone

(404) 881-4660

NPI assigned

May 24, 2007

Last updated

Aug 22, 2020By 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

Ms. Jeanette Ray, LPC, CCM

Title

Executive Director

Phone

(404) 267-4294

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1179964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1740491828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "623 SPRING ST NW",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303081907",
            "telephone_number": "404-881-4660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "623 SPRING ST NW",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303081907",
            "telephone_number": "404-881-4660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COVENANT COMMUNITY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RAY",
        "authorized_official_first_name": "JEANETTE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "404-267-4294",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LPC, CCM"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "GA",
            "license": "060403D",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Linda Sue Couture
• Anastasia Couvaras, MD
• Christine Covaci, FNP-C
• Karina Covarrubias, MD
• Mary Cecelia Covatta, MA, MFCC
• Catherine Coveney, PAA
• Kimberly A Coveney, MD
• Chandler Covert, PA
• Covidcarega
• Amy Bettle Covin, RPH

• Substance Abuse Rehabilitation Facility in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Substance Abuse Rehabilitation Facility in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.