COVENANT BEHAVIORAL HEALTH LLC
NPI 1790494573
Nurse Practitioner - Psychiatric/Mental Health in Woodbridge, VA

Active since November 21, 2022
5656 LIBERTY MANOR CIR, WOODBRIDGE, VA 22193(571) 505-1775 Get Directions Write a Review

NPPES record last updated: February 2, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 2, 2023, Nov 21, 2022 (2 updates tracked since 2022).

About Covenant Behavioral Health Llc NPPES

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

COVENANT BEHAVIORAL HEALTH LLC (NPI 1790494573) is a healthcare organization registered as a psychiatric/mental health in Woodbridge, Virginia and active in the NPI registry since November 2022. The organization lists Catherine Nkeiruka Ben-agu, President, as its authorized official.

NPPES Registry Identity

NPI1790494573
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameCOVENANT BEHAVIORAL HEALTH LLC
Location Address5656 LIBERTY MANOR CIRWoodbridge, VA 22193-3279
Mailing Address5656 Liberty Manor CirWoodbridge, VA 22193-3279 · (571) 505-1775
Organization SubpartNo
Authorized OfficialCatherine Nkeiruka Ben-aguPresident · (571) 505-1775
Enumeration DateNovember 21, 2022
Last NPPES UpdateFebruary 2, 20232 updates tracked since enumeration
NPPES CertifiedFebruary 2, 2023
NPI 1790494573 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
5656 LIBERTY MANOR CIR, Woodbridge, VA 22193

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Psychiatric/Mental Health)
5656 LIBERTY MANOR CIR
WOODBRIDGE, VA 22193

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 Covenant Behavioral Health LLC's NPI number?

The NPI number for Covenant Behavioral Health LLC is 1790494573. It was assigned to this organization in the NPPES registry on November 21, 2022.

Where is Covenant Behavioral Health LLC located?

Covenant Behavioral Health LLC is located at 5656 Liberty Manor Cir, Woodbridge, VA 22193. The listed phone number is (571) 505-1775.

What is Covenant Behavioral Health LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Covenant Behavioral Health LLC was last updated on February 2, 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.