Healthcare Provider Details

I. General information

NPI: 1720993686
Provider Name (Legal Business Name): COVENANT LEGACY COUNSELING GROUP, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/17/2026
Last Update Date: 08/17/2026
Certification Date: 08/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2 CARDENTI CT
NEWARK DE
19702
US

IV. Provider business mailing address

4 PEDDLERS ROW UNIT 146
NEWARK DE
19702-1525
US

V. Phone/Fax

Practice location:
  • Phone: 302-894-8103
  • Fax:
Mailing address:
  • Phone: 302-894-8103
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: JOSLYNN ALSTON
Title or Position: CEO & CLINICAL DIRECTOR
Credential: LPCMH
Phone: 302-894-8103