Cognitive Health & Wellness, LLC

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

COGNITIVE HEALTH & WELLNESS, LLC

Practice address

838 W Desoto St Unit 8H
Clermont, FL 34711-2110

Phone

(352) 505-1788

Fax

(321) 594-7656

NPI assigned

Oct 29, 2020

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Sharon Anna Walker, ARNP

Title

Registered Agent

Phone

(352) 223-7779

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1603929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698796800000",
    "number": "1194325969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "838 W DESOTO ST UNIT 8H",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347112110",
            "telephone_number": "352-505-1788",
            "fax_number": "321-594-7656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "838 W DESOTO ST UNIT 8H",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347112110",
            "telephone_number": "352-505-1788",
            "fax_number": "321-594-7656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COGNITIVE HEALTH & WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-29",
        "last_updated": "2023-11-01",
        "certification_date": "2023-11-01",
        "status": "A",
        "authorized_official_last_name": "WALKER",
        "authorized_official_first_name": "SHARON",
        "authorized_official_middle_name": "ANNA",
        "authorized_official_title_or_position": "REGISTERED AGENT",
        "authorized_official_telephone_number": "352-223-7779",
        "authorized_official_credential": "ARNP"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "006600700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• CMB Health Incorporated
• Lindsey E Cobb, CCC-SLP
• Jessa Cobzac
• Cecilie Louise Cockriel, PA-C
• Everette Wesley Coffman Jr., PHD
• Danielle Cohan
• Amanda Cohen
• Dawn Marie Cohen, LCSW
• Christine Cole-Bowron
• Annick K Cole, RBT

• Adult Mental Health Clinic/Center in Clermont, FL
• Providers in Clermont, FL by specialty
• Adult Mental Health Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.