Covenant Place

LBN: Covenant 21St Century Ministries, Inc
Covenant Place is an health care organization with primary practice located at 260 Filbert St , Norfolk VA 23505-4410. The organization recently has only one registered license in Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness, which is considered as the primary health care specialty. Covenant 21St Century Ministries, Inc can be contacted via phone (757) 493-2912, or through Rawles, Portia Deneen via phone (757) 493-2912.

Contact Information

Primary practice address
260 Filbert St Norfolk VA 23505-4410
Phone: (757) 493-2912
Fax: (757) 493-2913
Website:
Map and Directions
Authorized official contact:
Name: Rawles, Portia Deneen PSY D
Phone: (757) 493-2912

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness 320800000X 80714001 Virginia

Profile Details

NPI number 1508036054
LBN Legal business name Covenant 21St Century Ministries, Inc
DBA Doing business as Covenant Place
Authorized official Rawles, Portia Deneen PSY D
Entity Organization
Organization subpart 1 No
Enumeration date Mar 11th, 2008
Last updated Apr 14th, 2009 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1508036054 NPPES
Virginia MEDICAID 1508036054

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