| Mosaic Counseling Services, Inc | |
|
6072 Brynwood Dr Ste 107 Rockford IL 61114-5829 | |
| (815) 846-0684 | |
| (888) 827-2114 |
| Full Name | Mosaic Counseling Services, Inc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 6072 Brynwood Dr Ste 107, Rockford, Illinois |
| Authorized Official Name and Position | Stephanie Yates (OWNER) |
| Authorized Official Contact | 8158460684 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mosaic Counseling Services, Inc 6072 Brynwood Dr Ste 107 Rockford IL 61114-5829 Ph: (815) 846-0684 | Mosaic Counseling Services, Inc 6072 Brynwood Dr Ste 107 Rockford IL 61114-5829 Ph: (815) 846-0684 |
| NPI Number | 1205570843 |
|---|---|
| Provider Enumeration Date | 04/20/2022 |
| Last Update Date | 06/15/2022 |
| Certification Date | 06/15/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205570843 | NPI | - | NPPES |
| 1003319781 | Other | NPI TYPE 1 |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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