| Mosaic Mental Wellness | |
|
100 S Main St Ste 505 Wichita KS 67202-3738 | |
| (316) 688-8390 | |
| (316) 688-8390 |
| Full Name | Mosaic Mental Wellness |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 100 S Main St Ste 505, Wichita, Kansas |
| Authorized Official Name and Position | Josephine Elizabeth Oldham (OWNER) |
| Authorized Official Contact | 3166888390 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mosaic Mental Wellness 100 S Main St Ste 505 Wichita KS 67202-3738 Ph: (316) 688-8390 | Mosaic Mental Wellness 100 S Main St Ste 505 Wichita KS 67202-3738 Ph: (316) 688-8390 |
| NPI Number | 1306363163 |
|---|---|
| Provider Enumeration Date | 08/23/2017 |
| Last Update Date | 07/17/2023 |
| Certification Date | 07/17/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306363163 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 4308 (Kansas) | Primary |
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