Healthcare Provider Details
I. General information
NPI: 1881525236
Provider Name (Legal Business Name): COVENANT WELLNESS PARTNERS LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/26/2026
Last Update Date: 05/26/2026
Certification Date: 05/26/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
492 E 13TH AVE STE 105&210
EUGENE OR
97401-4268
US
IV. Provider business mailing address
987 LADD AVE
JUNCTION CITY OR
97448-8606
US
V. Phone/Fax
- Phone: 541-221-1324
- Fax:
- Phone: 541-221-0246
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 101YA0400X |
| Taxonomy | Addiction (Substance Use Disorder) Counselor |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 101YM0800X |
| Taxonomy | Mental Health Counselor |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 101YP2500X |
| Taxonomy | Professional Counselor |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MR.
MICHAEL
J
PECUE
Title or Position: OWNER/THERAPIST
Credential: LPC
Phone: 541-221-0246