| Cognitive Care Llc | |
|
1 Chick Springs Rd Ste 210a Greenville SC 29609-4971 | |
| (864) 569-7344 | |
| (864) 412-8516 |
| Full Name | Cognitive Care Llc |
|---|---|
| Speciality | Counselor |
| Location | 1 Chick Springs Rd Ste 210a, Greenville, South Carolina |
| Authorized Official Name and Position | Crystal Ervin (CEO/COUNSELOR) |
| Authorized Official Contact | 8645697344 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cognitive Care Llc 109 Asteria St Greenville SC 29607-6326 Ph: (864) 569-7344 | Cognitive Care Llc 1 Chick Springs Rd Ste 210a Greenville SC 29609-4971 Ph: (864) 569-7344 |
| NPI Number | 1295369593 |
|---|---|
| Provider Enumeration Date | 02/25/2020 |
| Last Update Date | 02/25/2020 |
| Certification Date | 02/25/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295369593 | NPI | - | NPPES |
| PC1961 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (* (Not Available)) | Primary |
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