Organization
COGNITIVE TRANSFORMATIONZ LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAMANTHA HERNANDEZ (MANAGING MEMBER)
(480) 414-5070
Entity
Organization
Contact information
Practice address
2622 S 102ND LN, TOLLESON, AZ 85353-5678
(480) 414-5070
Mailing address
PO BOX 304, TOLLESON, AZ 85353-0304
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
101YP2500X
Professional Counselor
—
—
Other
Enumeration date
08/25/2020
Last updated
08/25/2020
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