Organization
COGNIZANT SOLUTIONS THERAPEUTICS, LLC
Active
Other names
Cognizant Protocol
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KORLETT WHITEHEAD MSW, LCSW-C (CHIEF CLINICAL OFFICER)
(443) 636-7978
Entity
Organization
Contact information
Practice address
6700 ALEXANDER BELL DR STE 200, COLUMBIA, MD 21046
(443) 873-8992
Mailing address
9757 CLOCKTOWER LN APT 303, COLUMBIA, MD 21046-3115
(443) 636-7978
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
13404
MD
101YM0800X
Mental Health Counselor
LC302189
DC
1041C0700X
Clinical Social Worker
Primary
13404
MD
1041C0700X
Clinical Social Worker
LC302189
DC
261QM0855X
Adolescent and Children Mental Health Clinic/Center
13404
MD
261QM1300X
Multi-Specialty Clinic/Center
13404
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
927003500
—
MD
Enumeration date
05/23/2018
Last updated
12/20/2019
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