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Organization
MOSAIC COUNSELING AND WELLNESS LLC
Active
Organization
MOSAIC COUNSELING AND WELLNESS LLC
Active
Other names
Mosaic Counseling and Wellness
Organization subpart
No
Provider details
NPI number
Authorized official
CAREY CARLOCK MA (MANAGER)
(708) 628-8000
Entity
Organization
Contact information
Practice address
1010 LAKE ST, OAK PARK, IL 60301-1147
(708) 628-8000
Mailing address
386 N. YORK RD, SUITE 204, ELMHURST, IL 60126-2365
(708) 628-8000
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
Other
Enumeration date
08/05/2021
Last updated
06/23/2023
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