| Mosaic Mental Wellness Llc | |
|
100 S Main St Ste 505 Wichita KS 67202-3738 | |
| (316) 688-8390 | |
| (316) 867-1718 |
| Full Name | Mosaic Mental Wellness Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 100 S Main St Ste 505, Wichita, Kansas |
| Authorized Official Name and Position | Josephine Oldham (CO-OWNER) |
| Authorized Official Contact | 3166858390 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mosaic Mental Wellness Llc 100 S Main St Ste 505 Wichita KS 67202-3738 Ph: (316) 688-8390 | Mosaic Mental Wellness Llc 100 S Main St Ste 505 Wichita KS 67202-3738 Ph: (316) 688-8390 |
| NPI Number | 1891348710 |
|---|---|
| Provider Enumeration Date | 07/19/2019 |
| Last Update Date | 12/10/2024 |
| Certification Date | 12/10/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891348710 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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