# MOSAIC COUNSELING SERVICES, LLC

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

## Provider details

- **NPI number:** 1831655182
- **Authorized official:** JONATHAN MARK BURG LMFT (LMFT; OWNER)
- **Authorized official phone:** (317) 645-7691

## Contact information

- **Practice address:** 808 E MAIN ST STE B, GREENFIELD, IN 46140-2619
- **Practice address phone:** (317) 645-7691
- **Practice address fax:** (317) 318-0816
- **Mailing address:** 15214 DRY CREEK RD, NOBLESVILLE, IN 46060-4642
- **Mailing address phone:** (317) 645-7691
- **Mailing address fax:** (317) 318-0816

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 106H00000X | Marriage & Family Therapist | — | NULL | Yes |
| 106H00000X | Marriage & Family Therapist | — | — | Yes |

## Other

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