Cognitive Transformationz Llc | |
2622 S 102nd Ln Tolleson AZ 85353-5678 | |
(480) 414-5070 | |
Not Available |
Full Name | Cognitive Transformationz Llc |
---|---|
Speciality | Counselor - Mental Health |
Location | 2622 S 102nd Ln, Tolleson, Arizona |
Authorized Official Name and Position | Samantha Hernandez (MANAGING MEMBER) |
Authorized Official Contact | 4804145070 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Cognitive Transformationz Llc Po Box 304 Tolleson AZ 85353-0304 Ph: () - | Cognitive Transformationz Llc 2622 S 102nd Ln Tolleson AZ 85353-5678 Ph: (480) 414-5070 |
NPI Number | 1992318562 |
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Provider Enumeration Date | 08/25/2020 |
Last Update Date | 08/25/2020 |
Certification Date | 08/24/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1992318562 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
101YP2500X | Counselor - Professional | (* (Not Available)) | Secondary |
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