Provider Demographics
NPI:1538760491
Name:CORTEX INITIATIVE LLC
Entity type:Organization
Organization Name:CORTEX INITIATIVE LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:SPEECH-LANGUAGE PATHOLOGIST/OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:ANNE
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:TAMBURELLO
Authorized Official - Suffix:
Authorized Official - Credentials:MS, CCC-SLP, CBIS
Authorized Official - Phone:757-409-3495
Mailing Address - Street 1:1028 BELLS RD STE 111
Mailing Address - Street 2:
Mailing Address - City:VIRGINIA BEACH
Mailing Address - State:VA
Mailing Address - Zip Code:23451-5845
Mailing Address - Country:US
Mailing Address - Phone:757-409-3495
Mailing Address - Fax:833-924-0333
Practice Address - Street 1:1028 BELLS RD STE 111
Practice Address - Street 2:
Practice Address - City:VIRGINIA BEACH
Practice Address - State:VA
Practice Address - Zip Code:23451-5845
Practice Address - Country:US
Practice Address - Phone:757-409-3495
Practice Address - Fax:833-924-0333
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-11-05
Last Update Date:2025-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty