# MOSAIC HEALTH AND WELLNESS LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1275177206
- **Authorized official:** MR. CURT EUGENE VANTRESS APN (PMHNP)
- **Authorized official phone:** (970) 599-2057

## Contact information

- **Practice address:** 1136 E STUART ST BLDG 4 STE 101, FORT COLLINS, CO 80525-1195
- **Practice address phone:** (970) 599-2057
- **Practice address fax:** (949) 404-8845
- **Mailing address:** 1151 EAGLE DR \# 344, LOVELAND, CO 80537-8020
- **Mailing address phone:** (970) 599-2057
- **Mailing address fax:** (949) 404-8845

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 11/02/2019
- **Last updated:** 12/30/2019