| Mosaic Psychological And Wellness Center | |
|
200 Malaga St Suite 1 Saint Augustine FL 32084-3523 | |
| (904) 806-3070 | |
| Not Available |
| Full Name | Mosaic Psychological And Wellness Center |
|---|---|
| Speciality | Psychologist |
| Location | 200 Malaga St, Saint Augustine, Florida |
| Authorized Official Name and Position | Darrin John Kirkendall (CEO) |
| Authorized Official Contact | 9048063070 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mosaic Psychological And Wellness Center 1201 Maclaren St Saint Augustine FL 32092-3431 Ph: (904) 806-3070 | Mosaic Psychological And Wellness Center 200 Malaga St Suite 1 Saint Augustine FL 32084-3523 Ph: (904) 806-3070 |
| NPI Number | 1831506211 |
|---|---|
| Provider Enumeration Date | 07/17/2014 |
| Last Update Date | 07/17/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831506211 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
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