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Organization
MOSAIC MENTAL WELLNESS
Active
Organization
MOSAIC MENTAL WELLNESS
Active
Other names
Mosaic Mental Wellness and Health
Organization subpart
No
Provider details
NPI number
Authorized official
DENEEN LOGAN EVANS (OWNER)
(540) 566-4034
Entity
Organization
Contact information
Practice address
3005 PETERS CREEK RD NW, ROANOKE, VA 24019-2738
(540) 520-1052
Mailing address
3005 PETERS CREEK RD NW, ROANOKE, VA 24019-2738
(540) 566-4034
(540) 566-4472
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
06/28/2019
Last updated
05/11/2020
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