| Mosaic Learning Center Llc | |
|
9880 E Michigan Ave Galesburg MI 49053-8641 | |
| (269) 665-5022 | |
| Not Available |
| Full Name | Mosaic Learning Center Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 9880 E Michigan Ave, Galesburg, Michigan |
| Authorized Official Name and Position | Kaila Oman (OWNER) |
| Authorized Official Contact | 2696655022 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mosaic Learning Center Llc 12291 Fort Custer Dr Galesburg MI 49053-8797 Ph: (269) 615-8674 | Mosaic Learning Center Llc 9880 E Michigan Ave Galesburg MI 49053-8641 Ph: (269) 665-5022 |
| NPI Number | 1336815026 |
|---|---|
| Provider Enumeration Date | 08/21/2021 |
| Last Update Date | 09/09/2022 |
| Certification Date | 09/01/2022 |
| Medicare PECOS PAC ID | 2365818945 |
|---|---|
| Medicare Enrollment ID | O20221024000488 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336815026 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
| 235Z00000X | Speech-language Pathologist | (* (Not Available)) | Secondary |
| Provider Name | Ashley Burgoyne |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1851725337 PECOS PAC ID: 6608096482 Enrollment ID: I20140929001922 |
This Day Counseling, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 10144 Castle Creek Cir, Galesburg, MI 49053 Phone: 269-370-2899 | |
Kelene Rogers, Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 4386 Autumn Joy St, Galesburg, MI 49053 Phone: 269-806-2105 |