| Cognitive Care Connect, Pllc | |
|
1201 Texas St Salem VA 24153-5403 | |
| (678) 900-0308 | |
| Not Available |
| Full Name | Cognitive Care Connect, Pllc |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 1201 Texas St, Salem, Virginia |
| Authorized Official Name and Position | Michie Armell Bolden (OWNER) |
| Authorized Official Contact | 6789000308 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cognitive Care Connect, Pllc 1201 Texas St Salem VA 24153-5403 Ph: (678) 900-0308 | Cognitive Care Connect, Pllc 1201 Texas St Salem VA 24153-5403 Ph: (678) 900-0308 |
| NPI Number | 1386311272 |
|---|---|
| Provider Enumeration Date | 08/27/2021 |
| Last Update Date | 08/27/2021 |
| Certification Date | 08/27/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386311272 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
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