MOSAIC MENTAL WELLNESS NPI 1114588241

NPI Information

NPI: 1114588241
Provider Name: MOSAIC MENTAL WELLNESS

Doing Business As: MOSAIC MENTAL WELLNESS AND HEALTH

Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

Address:
3005 PETERS CREEK RD NW
ROANOKE, VA
ZIP 24019
Phone: (540) 520-1052
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MOSAIC MENTAL WELLNESS is a mental health counselor in Roanoke, VA. MOSAIC MENTAL WELLNESS NPI is 1114588241. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Mosaic Mental Wellness And Health.

The provider's business location address is:

3005 PETERS CREEK RD NW
ROANOKE, VA
ZIP 24019-738
Phone: (540) 520-1052

The provider's authorized official is Deneen Logan Evans .
The authorized official title is Owner and has the following contact phone number (540) 566-4034.

The enumeration date for this NPI number is 6/28/2019 and was last updated on 5/11/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YM0800X	Counselor	Mental Health			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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