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MY COVENANT PLACE
NPI 1164853669
Community/Behavioral Health in Largo, MD

Active since December 09, 2013
9701 APOLLO DR STE 4114TH, LARGO, MD 20774(301) 577-7307(301) 476-0076 Get Directions Write a Review

NPPES record last updated: January 9, 2023. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Jan 9, 2023, Mar 9, 2022, Nov 9, 2021 (3 updates tracked since 2021).

About My Covenant Place NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MY COVENANT PLACE (NPI 1164853669) is a healthcare organization registered as a community/behavioral health in Largo, Maryland and active in the NPI registry since December 2013. The organization maintains 3 additional practice locations and lists Latisha Carter, Ceo/executive Director, as its authorized official.

NPPES Registry Identity

NPI1164853669
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameMY COVENANT PLACE
Location Address9701 APOLLO DR STE 4114THLargo, MD 20774-4783
Mailing Address10630 Little Patuxent Pkwy Ste 113Columbia, MD 21044-6225 · (410) 200-9290 · Fax (301) 476-0076
Phone(301) 577-7307
Fax(301) 476-0076
Organization SubpartNo
Authorized OfficialLatisha CarterCeo/executive Director · (301) 577-7307
Enumeration DateDecember 9, 2013
Last NPPES UpdateJanuary 9, 20233 updates tracked since enumeration
NPPES CertifiedJanuary 9, 2023
✔ NPI 1164853669 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
9701 APOLLO DR STE 4114TH, Largo, MD 20774
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Secondary Practice Locations 3

Location 15109 York Rd Ste CBaltimore, MD 21212-4399 · Phone (443) 759-3355 · Fax (443) 990-0009
Location 210630 Little Patuxent Pkwy Ste 314DColumbia, MD 21044-6216 · Phone (410) 200-9290 · Fax (301) 476-0076
Location 39500 Medical Center Dr Ste 104Largo, MD 20774-3703 · Phone (301) 577-7307 · Fax (301) 476-0076

Other Identifiers 1

Medicaid19125M99MD

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is My Covenant Place's NPI number?

The NPI number for My Covenant Place is 1164853669. It was assigned to this organization in the NPPES registry on December 9, 2013.

Where is My Covenant Place located?

My Covenant Place is located at 9701 Apollo Dr Ste 4114th, Largo, MD 20774. The listed phone number is (301) 577-7307.

What is My Covenant Place's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

When was this NPI record last updated?

The NPPES record for My Covenant Place was last updated on January 9, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.