Organization
COGNITIVE CARE CONNECT, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MICHIE ARMELL BOLDEN PMHNP (OWNER)
(678) 900-0308
Entity
Organization
Contact information
Practice address
1201 TEXAS ST, SALEM, VA 24153-5403
(678) 900-0308
Mailing address
1201 TEXAS ST, SALEM, VA 24153-5403
(678) 900-0308
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
08/27/2021
Last updated
08/27/2021
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