Provider Demographics
NPI:1598887028
Name:COVENANT COUNSELING SERVICES, INC.
Entity Type:Organization
Organization Name:COVENANT COUNSELING SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:JUANITA
Authorized Official - Middle Name:
Authorized Official - Last Name:SAMUELS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:717-574-2224
Mailing Address - Street 1:3309 SPRING ST
Mailing Address - Street 2:SUITE 201
Mailing Address - City:HARRISBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17109-3629
Mailing Address - Country:US
Mailing Address - Phone:717-574-2224
Mailing Address - Fax:717-238-4181
Practice Address - Street 1:3309 SPRING ST
Practice Address - Street 2:SUITE 201
Practice Address - City:HARRISBURG
Practice Address - State:PA
Practice Address - Zip Code:17109-3629
Practice Address - Country:US
Practice Address - Phone:717-574-2224
Practice Address - Fax:717-238-4181
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-04
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health