| Mosaic Psychological Services, Pllc | |
|
1788 Heritage Center Dr Ste 202 Wake Forest NC 27587-3972 | |
| (919) 298-2424 | |
| Not Available |
| Full Name | Mosaic Psychological Services, Pllc |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 1788 Heritage Center Dr Ste 202, Wake Forest, North Carolina |
| Authorized Official Name and Position | Rosanna Lora (CLINICAL PSYCHOLOGIST) |
| Authorized Official Contact | 9192982424 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mosaic Psychological Services, Pllc 11845 Retail Dr # 1056 Wake Forest NC 27587-7352 Ph: () - | Mosaic Psychological Services, Pllc 1788 Heritage Center Dr Ste 202 Wake Forest NC 27587-3972 Ph: (919) 298-2424 |
| NPI Number | 1730968660 |
|---|---|
| Provider Enumeration Date | 09/28/2023 |
| Last Update Date | 09/28/2023 |
| Certification Date | 09/28/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730968660 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
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