MOSAIC LEAF THERAPY AND WELLNESS LLC NPI 1174002356

NPI Information

NPI: 1174002356
Provider Name: MOSAIC LEAF THERAPY AND WELLNESS, LLC
Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

Address:
200 W MADISON ST STE 2100
CHICAGO, IL
ZIP 60606
Phone: (312) 522-8280
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MOSAIC LEAF THERAPY AND WELLNESS, LLC is a mental health (including community mental health center) clinic center in Chicago, IL. MOSAIC LEAF THERAPY AND WELLNESS, LLC NPI is 1174002356. The provider is registered as an organization entity type.

The provider's business location address is:

200 W MADISON ST STE 2100
CHICAGO, IL
ZIP 60606
Phone: (312) 522-8280

The provider's authorized official is Theressa L Labarrie Mitchell .
The authorized official title is Clinical Psychologist And Founder and has the following contact phone number (312) 522-8280.

The enumeration date for this NPI number is 8/9/2018 and was last updated on 9/6/2018.

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	261QM0850X	Clinic/Center	Adult Mental Health	071.009800	ILLINOIS	No
2	261QM0855X	Clinic/Center	Adolescent and Children Mental Health	071.009800	ILLINOIS	No
3	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)	071.009800	ILLINOIS	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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