| Mosaic Behavioral Health Services | |
|
503 Remington St Fort Collins CO 80524-3074 | |
| (978) 709-1309 | |
| Not Available |
| Full Name | Mosaic Behavioral Health Services |
|---|---|
| Speciality | Psychologist |
| Location | 503 Remington St, Fort Collins, Colorado |
| Authorized Official Name and Position | Haley Ford (PSYCHOLOGIST) |
| Authorized Official Contact | 9707185305 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mosaic Behavioral Health Services Po Box 1205 Fort Collins CO 80522-1205 Ph: (970) 718-5305 | Mosaic Behavioral Health Services 503 Remington St Fort Collins CO 80524-3074 Ph: (978) 709-1309 |
| NPI Number | 1295394799 |
|---|---|
| Provider Enumeration Date | 06/07/2019 |
| Last Update Date | 09/29/2022 |
| Certification Date | 09/29/2022 |
| Medicare PECOS PAC ID | 6800122359 |
|---|---|
| Medicare Enrollment ID | O20190723000285 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295394799 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| Provider Name | Haley Ford |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1245581826 PECOS PAC ID: 7315212032 Enrollment ID: I20171005003036 |
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