Provider Demographics
NPI:1407549645
Name:SCOVENS & ASSOCIATES, LLC
Entity Type:Organization
Organization Name:SCOVENS & ASSOCIATES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:CYRIL
Authorized Official - Middle Name:M
Authorized Official - Last Name:SCOVENS
Authorized Official - Suffix:
Authorized Official - Credentials:LCADC
Authorized Official - Phone:443-835-8808
Mailing Address - Street 1:608 GLENROCK RD
Mailing Address - Street 2:
Mailing Address - City:PIKESVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21208-4720
Mailing Address - Country:US
Mailing Address - Phone:443-835-8808
Mailing Address - Fax:218-422-7223
Practice Address - Street 1:608 GLENROCK RD
Practice Address - Street 2:
Practice Address - City:PIKESVILLE
Practice Address - State:MD
Practice Address - Zip Code:21208-4720
Practice Address - Country:US
Practice Address - Phone:443-835-8808
Practice Address - Fax:218-422-7223
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-06-01
Last Update Date:2023-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Multi-Specialty
No101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Multi-Specialty