MEDICARE: COVENANT PRP, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225C00000X	Rehabilitation Counselor

General Provider Information

NPI Number	:	1386287472
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	COVENANT PRP, LLC

Provider Business Mailing Address
First Line	:	3415 HAMILTON ST STE 1
Second Line	:
City	:	HYATTSVILLE
State	:	MD
Zip	:	20782-3953
Country	:	US
Telephone Number	:	301-363-0707
Fax Number	:	240-714-4733

Provider Business Practice Location Address
First Line	:	3415 HAMILTON ST STE 1&6
Second Line	:
City	:	HYATTSVILLE
State	:	MD
Zip	:	20782-3953
Country	:	US
Telephone Number	:	301-363-0707
Fax Number	:	240-714-4733

Authorized Official
Title or Position	:	CLINICAL DIRECTOR
Name	:	FOLAKE ALOBA
Credential	:	MBA, MSN, CRNP-PMH
Telephone Number	:	301-363-0707

Provider Enumeration Date	:	10/22/2019
Last Update Date	:	12/05/2025

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Directions to “COVENANT PRP, LLC ” Practice Location

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