Provider Demographics
NPI:1720977507
Name:COVENANT COUNSEL, LLC
Entity type:Organization
Organization Name:COVENANT COUNSEL, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KIM
Authorized Official - Middle Name:LEEANN
Authorized Official - Last Name:NEESE
Authorized Official - Suffix:
Authorized Official - Credentials:LPC, CADC II, BCCC
Authorized Official - Phone:706-594-1192
Mailing Address - Street 1:2219 SMOKEY RD
Mailing Address - Street 2:
Mailing Address - City:LAGRANGE
Mailing Address - State:GA
Mailing Address - Zip Code:30241-9083
Mailing Address - Country:US
Mailing Address - Phone:706-594-1192
Mailing Address - Fax:706-412-5017
Practice Address - Street 1:107 HARWELL AVE
Practice Address - Street 2:
Practice Address - City:LAGRANGE
Practice Address - State:GA
Practice Address - Zip Code:30240-3131
Practice Address - Country:US
Practice Address - Phone:706-594-1192
Practice Address - Fax:706-412-5017
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-06-28
Last Update Date:2025-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty