# MOSAIC LOTUS INTEGRATIVE PSYCHIATRIC SERVICES LLC

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

## Provider details

- **NPI number:** 1578373288
- **Authorized official:** KRISTI ANNA MYERS APRN (CEO/APRN)
- **Authorized official phone:** (919) 605-6309

## Contact information

- **Practice address:** 1112 THOMASVILLE RD STE 3, TALLAHASSEE, FL 32303-6534
- **Practice address phone:** (919) 605-6309
- **Mailing address:** 2901 ABBOTSFORD WAY, TALLAHASSEE, FL 32312-2801
- **Mailing address phone:** (919) 605-6309

## 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:** 01/14/2025
- **Last updated:** 01/14/2025