MOVING MOSAIC THERAPY & COUNSELING PLLC NPI 1093474652

NPI Information

MOVING MOSAIC THERAPY & COUNSELING, PLLC is a professional counselor in North Riverside, IL. MOVING MOSAIC THERAPY & COUNSELING, PLLC NPI is 1093474652. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2232 S 18TH AVE
NORTH RIVERSIDE, IL
ZIP 60546-014
Phone: (773) 373-9682
Fax: (773) 312-4876

The provider's authorized official is Katie Marie Dominguez .
The authorized official title is Co-founder/psychotherapist and has the following contact phone number (773) 373-9682.

The enumeration date for this NPI number is 12/10/2021 and was last updated on 10/2/2023.

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:

Other Identifiers

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