Organization
COGNITIVE CHANGE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY KATHYRN OGLE MSW, LIMHP (OWNER)
(402) 286-2754
Entity
Organization
Contact information
Practice address
770 N COTNER BLVD STE 328, LINCOLN, NE 68505-2344
(402) 286-2754
Mailing address
770 N COTNER BLVD STE 328, LINCOLN, NE 68505-2344
(402) 286-2754
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
05/03/2018
Last updated
05/03/2018
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