Provider Demographics
NPI:1558728824
Name:STRATEGIC COGNITIVE SOLUTIONS, INC LLC
Entity Type:Organization
Organization Name:STRATEGIC COGNITIVE SOLUTIONS, INC LLC
Other - Org Name:COGNITIVE STRATEGIES
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:SEAN
Authorized Official - Middle Name:MICHAEL
Authorized Official - Last Name:BAKER
Authorized Official - Suffix:
Authorized Official - Credentials:MBA
Authorized Official - Phone:281-475-0573
Mailing Address - Street 1:PO BOX 130152
Mailing Address - Street 2:
Mailing Address - City:SPRING
Mailing Address - State:TX
Mailing Address - Zip Code:77393-0152
Mailing Address - Country:US
Mailing Address - Phone:713-389-5475
Mailing Address - Fax:
Practice Address - Street 1:1095 EVERGREEN CIR STE 240
Practice Address - Street 2:
Practice Address - City:SPRING
Practice Address - State:TX
Practice Address - Zip Code:77380
Practice Address - Country:US
Practice Address - Phone:713-389-5475
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-01-18
Last Update Date:2020-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes293D00000XLaboratoriesPhysiological LaboratoryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXL9112OtherMEDICAL LICENSE
TX445916Medicare UPIN