=====================================================
General NPI Number Information
=====================================================
NPI Number | 1245195668
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | THE COGNITIVE SANCTUARY
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 12/18/2025
-----------------------------------------------------
Last Update Date | 12/18/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 9720 CAPITAL CT STE 404-5
-----------------------------------------------------
City | MANASSAS
-----------------------------------------------------
State | VA
-----------------------------------------------------
Zip | 20110-2044
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 571-516-4934
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 9720 CAPITAL CT STE 404-5
-----------------------------------------------------
City | MANASSAS
-----------------------------------------------------
State | VA
-----------------------------------------------------
Zip | 20110-2044
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 571-516-4934
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | DELORES TOPPING
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 757-632-8711
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 261QM0801X
-----------------------------------------------------
Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------