| Covenant Counseling Ministries Inc | |
|
907 Seton Dr Cumberland MD 21502-1817 | |
| (301) 777-0633 | |
| (240) 362-7110 |
| Full Name | Covenant Counseling Ministries Inc |
|---|---|
| Speciality | Registered Nurse |
| Location | 907 Seton Dr, Cumberland, Maryland |
| Authorized Official Name and Position | Sherrell Faith Campbell (DIRECTOR) |
| Authorized Official Contact | 3017770633 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Covenant Counseling Ministries Inc 907 Seton Dr Cumberland MD 21502-1817 Ph: (301) 777-0633 | Covenant Counseling Ministries Inc 907 Seton Dr Cumberland MD 21502-1817 Ph: (301) 777-0633 |
| NPI Number | 1629177290 |
|---|---|
| Provider Enumeration Date | 09/21/2006 |
| Last Update Date | 09/04/2012 |
| Medicare PECOS PAC ID | 2365587995 |
|---|---|
| Medicare Enrollment ID | O20100306000070 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629177290 | NPI | - | NPPES |
| Provider Name | Susan L Tasker-weaver |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1427245307 PECOS PAC ID: 8022207968 Enrollment ID: I20110209000167 |
| Provider Name | Susan M Nallin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1952507196 PECOS PAC ID: 9931361250 Enrollment ID: I20120503000250 |
| Provider Name | Sherrell F Campbell |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1457548323 PECOS PAC ID: 7719022359 Enrollment ID: I20120604000179 |
| Provider Name | Christine Haines |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1760984447 PECOS PAC ID: 4587929849 Enrollment ID: I20180607001990 |
| Provider Name | Jeffrey Tasker |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1861055162 PECOS PAC ID: 2668831892 Enrollment ID: I20231219000723 |
| Provider Name | Judith Anne Carpenter |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1831668730 PECOS PAC ID: 4183074719 Enrollment ID: I20231222001673 |
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