| Covenant Family Solutions, Llc | |
|
1655 Blairs Ferry Rd Marion IA 52302 | |
| (319) 261-2292 | |
| (319) 333-0992 |
| Full Name | Covenant Family Solutions, Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 1655 Blairs Ferry Rd, Marion, Iowa |
| Authorized Official Name and Position | Jacob Dustin Christenson (CEO) |
| Authorized Official Contact | 3192612292 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Covenant Family Solutions, Llc 1655 Blairs Ferry Rd Marion IA 52302-3157 Ph: (319) 261-2292 | Covenant Family Solutions, Llc 1655 Blairs Ferry Rd Marion IA 52302 Ph: (319) 261-2292 |
| NPI Number | 1407295280 |
|---|---|
| Provider Enumeration Date | 06/14/2013 |
| Last Update Date | 12/11/2018 |
| Medicare PECOS PAC ID | 2264738756 |
|---|---|
| Medicare Enrollment ID | O20160309001544 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407295280 | NPI | - | NPPES |
| 600879703 | Medicaid | IA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Timothy A Griem |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1689637696 PECOS PAC ID: 6002087939 Enrollment ID: I20110926000145 |
| Provider Name | Rhonda Kay Herum |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1629302310 PECOS PAC ID: 1658659859 Enrollment ID: I20161021002050 |
| Provider Name | Curtis L Long |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588181481 PECOS PAC ID: 5193074995 Enrollment ID: I20180827002787 |
| Provider Name | Lauren Mai |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1679236111 PECOS PAC ID: 9234674532 Enrollment ID: I20240711000243 |
| Provider Name | Miranda Ann Peyton |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1972007474 PECOS PAC ID: 5496292542 Enrollment ID: I20240807000290 |
| Provider Name | Kelly Anne Robertson |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1093141236 PECOS PAC ID: 9032657499 Enrollment ID: I20240815003821 |
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