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MOSAIC COUNSELING AND WELLNESS LLC NPI 1851065502


NPI Information

NPI: 1851065502
Provider Name: MOSAIC COUNSELING AND WELLNESS LLC

Doing Business As: MOSAIC COUNSELING AND WELLNESS

Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

Address:
1010 LAKE ST
OAK PARK, IL
ZIP 60301
Phone: (708) 628-8000
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MOSAIC COUNSELING AND WELLNESS LLC is a mental health (including community mental health center) clinic center in Oak Park, IL. MOSAIC COUNSELING AND WELLNESS LLC NPI is 1851065502. The provider is registered as an organization entity type.
The provider Is Doing Business As Mosaic Counseling And Wellness.

The provider's business location address is:

1010 LAKE ST
OAK PARK, IL
ZIP 60301-147
Phone: (708) 628-8000

The provider's authorized official is Carey Carlock .
The authorized official title is Manager and has the following contact phone number (708) 628-8000.

The enumeration date for this NPI number is 8/5/2021 and was last updated on 6/23/2023.


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
1261QM1300XClinic/CenterMulti-SpecialtyNo
2261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)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: 5/5/2024

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