Organization
MOSAIC MINDS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHANNON ROBERTSON (OWNER)
(225) 773-1330
Entity
Organization
Contact information
Practice address
12090 S HARRELLS FERRY RD STE G, BATON ROUGE, LA 70816-2470
(225) 773-1330
Mailing address
12327 HAVEN AVE, BATON ROUGE, LA 70818-5736
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
06/30/2025
Last updated
06/30/2025
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