Provider Demographics
NPI:1669286043
Name:COVERT MERCY INCORPORATED
Entity type:Organization
Organization Name:COVERT MERCY INCORPORATED
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR COUNSELOR
Authorized Official - Prefix:MR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:HOWARD
Authorized Official - Last Name:THURMAN
Authorized Official - Suffix:JR
Authorized Official - Credentials:LCMHC
Authorized Official - Phone:505-306-0395
Mailing Address - Street 1:7220 MINUTEMAN DR NE
Mailing Address - Street 2:
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87109-5079
Mailing Address - Country:US
Mailing Address - Phone:505-306-0395
Mailing Address - Fax:
Practice Address - Street 1:316 OSUNA RD NE BLDG 2
Practice Address - Street 2:
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87107-5950
Practice Address - Country:US
Practice Address - Phone:505-306-0395
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-02-05
Last Update Date:2025-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Single Specialty