| Mosaic Mind Counseling Llc | |
|
728 Ogden Ave Ste E Downers Grove IL 60515-2964 | |
| (715) 617-6000 | |
| Not Available |
| Full Name | Mosaic Mind Counseling Llc |
|---|---|
| Speciality | Social Worker |
| Location | 728 Ogden Ave Ste E, Downers Grove, Illinois |
| Authorized Official Name and Position | Arlene Ross Langley (OWNER) |
| Authorized Official Contact | 7156176000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mosaic Mind Counseling Llc 4410 Cumnor Rd Downers Grove IL 60515-3135 Ph: (715) 617-6000 | Mosaic Mind Counseling Llc 728 Ogden Ave Ste E Downers Grove IL 60515-2964 Ph: (715) 617-6000 |
| NPI Number | 1235781253 |
|---|---|
| Provider Enumeration Date | 07/10/2019 |
| Last Update Date | 07/10/2019 |
| Medicare PECOS PAC ID | 6709117518 |
|---|---|
| Medicare Enrollment ID | O20191009001610 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235781253 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Arlene Ross Langley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1841389954 PECOS PAC ID: 8123105103 Enrollment ID: I20191009001745 |
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