| Cognitive Development Center | |
|
1705 Felicia Ave Tallulah LA 71282-8203 | |
| (318) 574-1232 | |
| (318) 574-8646 |
| Full Name | Cognitive Development Center |
|---|---|
| Speciality | Counselor - Professional |
| Location | 1705 Felicia Ave, Tallulah, Louisiana |
| Authorized Official Name and Position | Adrian Fisher (DIRECTOR) |
| Authorized Official Contact | 3186147644 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cognitive Development Center 1705 Felicia Ave Tallulah LA 71282-8203 Ph: (318) 574-1232 | Cognitive Development Center 1705 Felicia Ave Tallulah LA 71282-8203 Ph: (318) 574-1232 |
| NPI Number | 1609247907 |
|---|---|
| Provider Enumeration Date | 10/13/2015 |
| Last Update Date | 10/13/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609247907 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 2930 (Louisiana) | Primary |
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Cognitive Development Center, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1705 Felicia Ave, Tallulah, LA 71282 Phone: 319-574-1232 | |
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