Cognivia Care LLC
NPI #1053105411 in Manchester, Connecticut
Provider Information
- NPI Number
- 1053105411
- Entity Type
- Organization
- Organization Name
- Cognivia Care LLC
- Primary Specialty
- Nurse Practitioner - Psychiatric/Mental Health
- Enumeration Date
- Apr 8, 2025
- Last Updated
- May 30, 2025
Practice Location
- Address
- 903 MAIN ST
- City
- Manchester
- State
- Connecticut
- ZIP Code
- 06040-6008
- Phone
- (860) 854-4733
Authorized Official
- Name
- KERISHA S PRINCE, PMHNP
- Title
- OWNER
- Phone
- (718) 201-9840
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Psychiatric/Mental Health — Psychiatric/Mental Health |
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