Provider Demographics
NPI:1134525207
Name:COGITO MENTAL HEALTH SERVICES, LLC
Entity type:Organization
Organization Name:COGITO MENTAL HEALTH SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOLE MEMBER
Authorized Official - Prefix:MR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:ALAN
Authorized Official - Last Name:GRIER
Authorized Official - Suffix:
Authorized Official - Credentials:MS, LPC, NCC
Authorized Official - Phone:386-530-0126
Mailing Address - Street 1:PO BOX 349
Mailing Address - Street 2:
Mailing Address - City:WEBB
Mailing Address - State:AL
Mailing Address - Zip Code:36376-0349
Mailing Address - Country:US
Mailing Address - Phone:386-530-0126
Mailing Address - Fax:334-460-9993
Practice Address - Street 1:248 N FOSTER ST
Practice Address - Street 2:
Practice Address - City:DOTHAN
Practice Address - State:AL
Practice Address - Zip Code:36303-4542
Practice Address - Country:US
Practice Address - Phone:844-426-4486
Practice Address - Fax:334-460-9993
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-11-17
Last Update Date:2016-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty
No103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Multi-Specialty
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Multi-Specialty