MY COVENANT PLACE BEHAVIORAL HEALTH
NPI 1780394031
Clinic/Center - Community Health in Baltimore, MD

Active since November 28, 2022
5109 YORK ROAD, SUITE C- 2ND FLOOR, BALTIMORE, MD 21212(443) 759-3355 Get Directions Write a Review

NPPES record last updated: December 16, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 16, 2022, Nov 28, 2022 (2 updates tracked since 2022).

About My Covenant Place Behavioral Health NPPES

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

MY COVENANT PLACE BEHAVIORAL HEALTH (NPI 1780394031) is a healthcare organization registered as a community health in Baltimore, Maryland and active in the NPI registry since November 2022. The organization maintains a secondary practice location in Baltimore and lists Latisha Carter, President/ceo, as its authorized official.

NPPES Registry Identity

NPI1780394031
Entity TypeOrganization
Primary Taxonomy261QC1500X
Legal Business NameMY COVENANT PLACE BEHAVIORAL HEALTH
Location Address5109 YORK ROAD, SUITE C- 2ND FLOORBaltimore, MD 21212-2121
Mailing Address5109 York Rd, Suite C, 2nd FloorBaltimore, MD 21212-4399 · (443) 759-3355 · Fax (443) 990-0009
Organization SubpartYes
Authorized OfficialLatisha CarterPresident/ceo · (410) 660-9190
Enumeration DateNovember 28, 2022
Last NPPES UpdateDecember 16, 20222 updates tracked since enumeration
NPPES CertifiedDecember 16, 2022
NPI 1780394031 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Community HealthAmbulatory Health Care Facilities
Taxonomy Code261QC1500X
5109 YORK ROAD, Baltimore, MD 21212

Secondary Practice Location 1

Location 15109 York Rd Ste 2Baltimore, MD 21212-4399 · Phone (443) 759-3355 · Fax (443) 990-0009

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 Behavioral Health's NPI number?

The NPI number for My Covenant Place Behavioral Health is 1780394031. It was assigned to this organization in the NPPES registry on November 28, 2022.

Where is My Covenant Place Behavioral Health located?

My Covenant Place Behavioral Health is located at 5109 York Road Suite C- 2nd Floor, Baltimore, MD 21212. The listed phone number is (443) 759-3355.

What is My Covenant Place Behavioral Health's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Community Health, with taxonomy code 261QC1500X.

When was this NPI record last updated?

The NPPES record for My Covenant Place Behavioral Health was last updated on December 16, 2022. 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.