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Organization
COGNITIVE INSTITUTE INCORPORATED
Active
Organization
COGNITIVE INSTITUTE INCORPORATED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARLENA LAIRD (CEO)
(318) 871-5566
Entity
Organization
Contact information
Practice address
809 POLK ST, MANSFIELD, LA 71052
(318) 871-5566
(318) 871-1076
Mailing address
809 POLK ST, MANSFIELD, LA 71052-2413
(318) 871-5566
(318) 871-1076
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
1544710
LA
251S00000X
Community/Behavioral Health Agency
2203783518
LA
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1544710
—
LA
01
—
4503625
SUBMITTER NUMBER
LA
Enumeration date
02/16/2007
Last updated
07/03/2023
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