| Mosaic Clinical Counseling Llc | |
|
2501 Chatham Rd Ste N Springfield IL 62704-4188 | |
| (773) 328-9810 | |
| Not Available |
| Full Name | Mosaic Clinical Counseling Llc |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 2501 Chatham Rd Ste N, Springfield, Illinois |
| Authorized Official Name and Position | Ruth Nathaniel (OWNER) |
| Authorized Official Contact | 7733289810 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mosaic Clinical Counseling Llc 2501 Chatham Rd Ste N Springfield IL 62704-4188 Ph: (773) 328-9810 | Mosaic Clinical Counseling Llc 2501 Chatham Rd Ste N Springfield IL 62704-4188 Ph: (773) 328-9810 |
| NPI Number | 1265260301 |
|---|---|
| Provider Enumeration Date | 07/22/2024 |
| Last Update Date | 07/22/2024 |
| Certification Date | 07/22/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265260301 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
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