Organization
COGNITIVE HEALTH & WELLNESS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHARON ANNA WALKER ARNP (REGISTERED AGENT)
(352) 223-7779
Entity
Organization
Contact information
Practice address
838 W DESOTO ST UNIT 8H, CLERMONT, FL 34711-2110
(352) 505-1788
(321) 594-7656
Mailing address
838 W DESOTO ST UNIT 8H, CLERMONT, FL 34711-2110
(352) 505-1788
(321) 594-7656
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
006600700
—
FL
Enumeration date
10/29/2020
Last updated
11/01/2023
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