Organization
MOSAIC MENTAL WELLNESS
Active
Other names
Mosaic Mental Wellness and Health
Organization subpart
No
Provider details
NPI number
Authorized official
DENEEN LOGAN EVANS (OWNER)
(540) 566-4034
Entity
Organization
Contact information
Practice address
3005 PETERS CREEK RD NW, ROANOKE, VA 24019-2738
(540) 520-1052
Mailing address
3005 PETERS CREEK RD NW, ROANOKE, VA 24019-2738
(540) 566-4034
(540) 566-4472
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
06/28/2019
Last updated
05/11/2020
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