Provider Demographics
NPI:1225718380
Name:COGNIZANT COUNSELING LLC
Entity Type:Organization
Organization Name:COGNIZANT COUNSELING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ANDREA
Authorized Official - Middle Name:
Authorized Official - Last Name:VIGNOVICH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:515-321-4797
Mailing Address - Street 1:589 SE ALBA PL
Mailing Address - Street 2:
Mailing Address - City:WEST DES MOINES
Mailing Address - State:IA
Mailing Address - Zip Code:50265-1225
Mailing Address - Country:US
Mailing Address - Phone:515-321-4797
Mailing Address - Fax:
Practice Address - Street 1:601 E LOCUST ST STE 204
Practice Address - Street 2:
Practice Address - City:DES MOINES
Practice Address - State:IA
Practice Address - Zip Code:50309-1984
Practice Address - Country:US
Practice Address - Phone:515-321-4797
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-07-24
Last Update Date:2023-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)