Organization
MOSAIC FAMILY SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY DAVID BERRY LMHC (OWNER/THERAPIST)
(904) 527-5202
Entity
Organization
Contact information
Practice address
13300 ATLANTIC BLVD APT 924, JACKSONVILLE, FL 32225-6137
(904) 527-5202
(904) 527-5202
Mailing address
1015 ATLANTIC BLVD # 235, ATLANTIC BEACH, FL 32233-3313
(904) 527-5202
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
08/17/2021
Last updated
08/17/2021
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