# MOSAIC MINDS LLC

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

## Provider details

- **NPI number:** 1477398543
- **Authorized official:** SAMAANEH MOEZZI PA-C (PHYSICIAN ASSISTANT)
- **Authorized official phone:** (301) 500-5841

## Contact information

- **Practice address:** 12410 MILESTONE CENTER DRIVE, SUITE 600, GERMANTOWN, MD 20876-7102
- **Practice address phone:** (240) 500-5841
- **Mailing address:** 12410 MILESTONE CENTER DRIVE, SUITE 600, GERMANTOWN, MD 20876-7102
- **Mailing address phone:** (240) 500-5841

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363A00000X | Physician Assistant | — | — | Yes |

## Other

- **Enumeration date:** 06/28/2024
- **Last updated:** 08/06/2025