| Mosaic Counseling And Consulting Llc | |
|
1401 S Waldron Rd Suite 200 Fort Smith AR 72903-2591 | |
| (479) 263-7567 | |
| (479) 452-2958 |
| Full Name | Mosaic Counseling And Consulting Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 1401 S Waldron Rd, Fort Smith, Arkansas |
| Authorized Official Name and Position | Ryan A Martin (OWNER) |
| Authorized Official Contact | 4792637567 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mosaic Counseling And Consulting Llc Po Box 10124 Fayetteville AR 72703-0037 Ph: () - | Mosaic Counseling And Consulting Llc 1401 S Waldron Rd Suite 200 Fort Smith AR 72903-2591 Ph: (479) 263-7567 |
| NPI Number | 1639541428 |
|---|---|
| Provider Enumeration Date | 10/20/2015 |
| Last Update Date | 10/20/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639541428 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | P0610054 (Arkansas) | Primary |
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