Organization
MINDFUL MOSAICS THERAPY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIANA ASHAKA (PSYCHOLOGIST)
(248) 325-8098
Entity
Organization
Contact information
Practice address
2222 W GRAND RIVER AVE STE A, OKEMOS, MI 48864-1604
(248) 325-8098
Mailing address
2222 W GRAND RIVER AVE STE A, OKEMOS, MI 48864-1604
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
04/17/2023
Last updated
04/17/2023
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