Organization
COGNITIVE CARE LLC
Active
Other names
Cognitive Care LLC
Organization subpart
No
Provider details
NPI number
Authorized official
CRYSTAL ERVIN LPC (CEO/COUNSELOR)
(864) 569-7344
Entity
Organization
Contact information
Practice address
1 CHICK SPRINGS RD STE 210A, GREENVILLE, SC 29609-4971
(864) 569-7344
(864) 412-8516
Mailing address
109 ASTERIA ST, GREENVILLE, SC 29607-6326
(864) 569-7344
(864) 412-8516
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PC1961
—
SC
Enumeration date
02/25/2020
Last updated
02/25/2020
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