MOSAIC MENTAL WELLNESS NPI 1114588241

NPI Information

  • NPI: 1114588241
  • Provider Name: MOSAIC MENTAL WELLNESS
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Organization
  • Doing Business As: MOSAIC MENTAL WELLNESS AND HEALTH
  • Address: 3005 PETERS CREEK RD NW
    ROANOKE, VA
    ZIP 24019
  • Phone: (540) 520-1052

Map and Directions

Get Directions

NPI Details

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
1101YM0800XCounselorMental HealthYes

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: 11/21/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.