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Organization

COGNITIVE PRIORITY LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ERICA BLACK (OWNER/DIRECTOR)
(704) 512-8166
Entity
Organization

Contact information

Practice address
543 COX RD STE B8A, GASTONIA, NC 28054-0607
(704) 512-8166
Mailing address
3519 EDGEPINE DR, CHARLOTTE, NC 28269-8615
(170) 451-2816

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
251S00000X
Community/Behavioral Health Agency
Primary
261QM0850X
Adult Mental Health Clinic/Center
261QM0855X
Adolescent and Children Mental Health Clinic/Center

Other

Enumeration date
11/04/2021
Last updated
03/07/2022
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