Healthcare Provider Details
I. General information
NPI: 1720958564
Provider Name (Legal Business Name): THE COGNITIA ORGANIZATION, LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 11/07/2025
Last Update Date: 02/17/2026
Certification Date: 02/17/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
165 ERNEST LN
LINDEN NC
28356-8537
US
IV. Provider business mailing address
165 ERNEST LN
LINDEN NC
28356-8537
US
V. Phone/Fax
- Phone: 910-224-7979
- Fax:
- Phone: 910-224-7979
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 175T00000X |
| Taxonomy | Peer Specialist |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 251B00000X |
| Taxonomy | Case Management Agency |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 251S00000X |
| Taxonomy | Community/Behavioral Health Agency |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
DIONNE
HOLLIDAY
Title or Position: CHIEF EXECUTIVE OFFICER
Credential:
Phone: 910-224-7979