Healthcare Provider Details

I. General information

NPI: 1366305377
Provider Name (Legal Business Name): COVENANT PSYCHIATRIC AND MENTAL HEALTH SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/05/2025
Last Update Date: 12/05/2025
Certification Date: 12/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

927 S POTOMAC ST STE 101
HAGERSTOWN MD
21740-8033
US

IV. Provider business mailing address

927 S POTOMAC ST STE 101
HAGERSTOWN MD
21740-8033
US

V. Phone/Fax

Practice location:
  • Phone: 301-363-0707
  • Fax: 240-714-4733
Mailing address:
  • Phone: 301-363-0707
  • Fax: 240-714-4733

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: FOLAKE ALOBA
Title or Position: CLINICAL DIRECTOR
Credential: NURSE PRACTITIONER
Phone: 301-363-0707