Healthcare Provider Details

I. General information

NPI: 1144814807
Provider Name (Legal Business Name): COVENANT PSYCHIATRIC AND MENTAL HEALTH SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/23/2021
Last Update Date: 12/05/2025
Certification Date: 12/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3415 HAMILTON ST STE 6
HYATTSVILLE MD
20782-3953
US

IV. Provider business mailing address

3415 HAMILTON ST STE 6
HYATTSVILLE MD
20782-3953
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 TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code261QM0855X
TaxonomyAdolescent and Children Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: FOLAKE ALOBA
Title or Position: DIRECTOR
Credential:
Phone: 301-363-0707