Provider Demographics
NPI:1376759183
Name:COVINGTON, JAMES R (MA, MDIV)
Entity Type:Individual
Prefix:MR
First Name:JAMES
Middle Name:R
Last Name:COVINGTON
Suffix:
Gender:M
Credentials:MA, MDIV
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:251 CENTRAL PARK W
Mailing Address - Street 2:APT. 9D
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10024-4134
Mailing Address - Country:US
Mailing Address - Phone:212-799-1157
Mailing Address - Fax:212-799-1157
Practice Address - Street 1:251 CENTRAL PARK W
Practice Address - Street 2:APT. 9D
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10024-4134
Practice Address - Country:US
Practice Address - Phone:212-799-1157
Practice Address - Fax:212-799-1157
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY000422106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist