Mosaic Therapy Collective Pllc | |
8096 Brighton Road Unit #326 Dupont CO 80024 | |
(720) 248-7318 | |
(720) 806-5612 |
Full Name | Mosaic Therapy Collective Pllc |
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Speciality | Psychologist - Counseling |
Location | 8096 Brighton Road, Dupont, Colorado |
Authorized Official Name and Position | Brooke Powers (CEO; LICENSED PSYCHOLOGIST) |
Authorized Official Contact | 7202487318 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Mosaic Therapy Collective Pllc Po Box 326 Dupont CO 80024-0326 Ph: (720) 248-7318 | Mosaic Therapy Collective Pllc 8096 Brighton Road Unit #326 Dupont CO 80024 Ph: (720) 248-7318 |
NPI Number | 1093549040 |
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Provider Enumeration Date | 08/30/2024 |
Last Update Date | 08/30/2024 |
Certification Date | 08/27/2024 |
Identifier | Type | State | Issuer |
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1093549040 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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103TC1900X | Psychologist - Counseling | (* (Not Available)) | Primary |