| 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 |
|---|---|
| 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 |
|---|---|
| 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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