| Cognitive Connections Ky | |
|
6707 Fenske Ln Louisville KY 40258-4607 | |
| (859) 421-6938 | |
| (502) 305-6649 |
| Full Name | Cognitive Connections Ky |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 6707 Fenske Ln, Louisville, Kentucky |
| Authorized Official Name and Position | Yahshanah Yehoshebah Williams (OWNER/EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 5026255080 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cognitive Connections Ky 6601 Dixie Highway Suite 4 Box 193 Louisville KY 40258 Ph: (502) 625-5080 | Cognitive Connections Ky 6707 Fenske Ln Louisville KY 40258-4607 Ph: (859) 421-6938 |
| NPI Number | 1831906114 |
|---|---|
| Provider Enumeration Date | 12/11/2024 |
| Last Update Date | 12/11/2024 |
| Certification Date | 12/07/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831906114 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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