Provider Demographics
NPI:1093213530
Name:COGNITIVE TRAINING CENTERS LLC
Entity Type:Organization
Organization Name:COGNITIVE TRAINING CENTERS LLC
Other - Org Name:LEARNINGRX
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CHARLES
Authorized Official - Middle Name:ADAM
Authorized Official - Last Name:BUTLER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:615-953-8899
Mailing Address - Street 1:5554 FRANKLIN PIKE STE 200
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37220-2143
Mailing Address - Country:US
Mailing Address - Phone:615-953-8899
Mailing Address - Fax:
Practice Address - Street 1:5554 FRANKLIN PIKE STE 200
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37220-2143
Practice Address - Country:US
Practice Address - Phone:615-953-8899
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-01-30
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225400000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRehabilitation PractitionerGroup - Single Specialty