MEDICARE: COGNITIVE ORGANICS LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	363LF0000X	Family Nurse Practitioner
2	1041C0700X	Clinical Social Worker
3	106H00000X	Marriage & Family Therapist
4	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1902664964
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	COGNITIVE ORGANICS LLC

Provider Business Mailing Address
First Line	:	256 POPLAR ST NW
Second Line	:
City	:	BOLIVAR
State	:	OH
Zip	:	44612-9209
Country	:	US
Telephone Number	:	614-610-1396
Fax Number	:	330-821-1742

Provider Business Practice Location Address
First Line	:	256 POPLAR ST NW
Second Line	:
City	:	BOLIVAR
State	:	OH
Zip	:	44612-9209
Country	:	US
Telephone Number	:	614-610-1396
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	SARAH DOWNES
Credential	:
Telephone Number	:	614-610-1396

Provider Enumeration Date	:	03/13/2024
Last Update Date	:	01/11/2026

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Directions to “COGNITIVE ORGANICS LLC ” Practice Location

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