| Covenant Kids Inc | |
|
320 Westway Pl Suite 530 Arlington TX 76018-5245 | |
| (817) 516-9100 | |
| (817) 516-9102 |
| Full Name | Covenant Kids Inc |
|---|---|
| Speciality | Psychologist |
| Location | 320 Westway Pl, Arlington, Texas |
| Authorized Official Name and Position | Bill Lund (CEO) |
| Authorized Official Contact | 8175169100 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Covenant Kids Inc Po Box 173038 Arlington TX 76003-3038 Ph: (817) 516-9100 | Covenant Kids Inc 320 Westway Pl Suite 530 Arlington TX 76018-5245 Ph: (817) 516-9100 |
| NPI Number | 1861606113 |
|---|---|
| Provider Enumeration Date | 05/09/2007 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 0547567687 |
|---|---|
| Medicare Enrollment ID | O20160405000137 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861606113 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 59857 (Texas) | Primary |
| 103TC2200X | Psychologist - Clinical Child & Adolescent | 32661 (Texas) | Primary |
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