# ECLECTIC-MOSAIC WELLNESS, LLC

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

## Provider details

- **NPI number:** 1356234884
- **Authorized official:** SHAVON LATOIYA MEYERS LMHC, LPC, NCC (OWNER)
- **Authorized official phone:** (413) 544-1737

## Contact information

- **Practice address:** 1100 OVERLOOK DR, PALMER, MA 01069-9316
- **Practice address phone:** (401) 484-1616
- **Mailing address:** 1100 OVERLOOK DR, PALMER, MA 01069-9316
- **Mailing address phone:** (413) 544-1737
- **Mailing address fax:** (413) 487-4338

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NULL | Yes |
| 261QM0801X | Mental Health Clinic/Center (Including Community Mental Health Center) | — | — | Yes |

## Other

- **Enumeration date:** 06/02/2025
- **Last updated:** 10/08/2026