| Mosaic Therapy Collective Llc | |
|
1942 Broadway Ste 314c Boulder CO 80302-5233 | |
| (574) 536-8100 | |
| Not Available |
| Full Name | Mosaic Therapy Collective Llc |
|---|---|
| Speciality | Psychologist - Counseling |
| Location | 1942 Broadway Ste 314c, Boulder, Colorado |
| Authorized Official Name and Position | Brooke A Powers (LICENSED PSYCHOLOGIST) |
| Authorized Official Contact | 5745368100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mosaic Therapy Collective Llc Po Box 326 Dupont CO 80024-0326 Ph: () - | Mosaic Therapy Collective Llc 1942 Broadway Ste 314c Boulder CO 80302-5233 Ph: (574) 536-8100 |
| NPI Number | 1063284230 |
|---|---|
| Provider Enumeration Date | 10/23/2023 |
| Last Update Date | 10/23/2023 |
| Certification Date | 10/23/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063284230 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC1900X | Psychologist - Counseling | (* (Not Available)) | Primary |
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