Organization Name: | EVERLASTING COVENANT MINISTRY |
NPI Number: | 1447479001 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DONNA LOVETTE (PSYCHOLOGIST-EXECUTIVE DIRECTOR) |
Mailing Address: | 97 S Lake Doster Dr Plainwell |
State: | MI US |
Postal Code: | 490809109 |
Phone Number: | 2693725621 |
Fax Number: | |
NPI Enumeration Date: | 04/24/2007 |
NPI Last Update Date: | 10/31/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC1900X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MI |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Counseling |
Taxonomy Definition: |