Healthcare Provider Details

I. General information

NPI: 1639035546
Provider Name (Legal Business Name): COGNITIVE HEALTH SOLUTIONS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/05/2026
Last Update Date: 01/05/2026
Certification Date: 01/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5448 MILLENIA LAKES BLVD APT 7203
ORLANDO FL
32839-3466
US

IV. Provider business mailing address

5448 MILLENIA LAKES BLVD APT 7203
ORLANDO FL
32839-3466
US

V. Phone/Fax

Practice location:
  • Phone: 904-993-1320
  • Fax:
Mailing address:
  • Phone: 904-993-1320
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: ANTONIA MEJIA
Title or Position: OWNER
Credential: LCSW
Phone: 904-993-1320