# COGNITIVE TRANSFORMATIONZ LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1992318562
- **Authorized official:** SAMANTHA HERNANDEZ (MANAGING MEMBER)
- **Authorized official phone:** (480) 414-5070

## Contact information

- **Practice address:** 2622 S 102ND LN, TOLLESON, AZ 85353-5678
- **Practice address phone:** (480) 414-5070
- **Mailing address:** PO BOX 304, TOLLESON, AZ 85353-0304

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NULL | Yes |
| 101YM0800X | Mental Health Counselor | — | — | Yes |
| 101YP2500X | Professional Counselor | — | NULL | — |
| 101YP2500X | Professional Counselor | — | — | — |

## Other

- **Enumeration date:** 08/25/2020
- **Last updated:** 08/25/2020