| Mosaic Counseling And Psychotherapy, Inc. | |
|
145 Waterman St Providence RI 02906-2128 | |
| (401) 658-6114 | |
| (401) 861-1250 |
| Full Name | Mosaic Counseling And Psychotherapy, Inc. |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 145 Waterman St, Providence, Rhode Island |
| Authorized Official Name and Position | William S. Carey (VICE PRESIDENT) |
| Authorized Official Contact | 4016586114 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mosaic Counseling And Psychotherapy, Inc. 145 Waterman St Providence RI 02906-2128 Ph: (401) 658-6114 | Mosaic Counseling And Psychotherapy, Inc. 145 Waterman St Providence RI 02906-2128 Ph: (401) 658-6114 |
| NPI Number | 1801022322 |
|---|---|
| Provider Enumeration Date | 06/10/2009 |
| Last Update Date | 07/27/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801022322 | NPI | - | NPPES |
| WC3213 | Medicaid | RI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | PS01086 (Rhode Island) | Secondary |
| 1041C0700X | Social Worker - Clinical | 001505ISW (Rhode Island) | Primary |
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