Organization
MOSAIC INTEGRATIVE COUNSELING PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE MARTIN HURLBERT LCMHCS (OWNER)
(704) 830-5000
Entity
Organization
Contact information
Practice address
10801 JOHNSTON RD STE 210, CHARLOTTE, NC 28226-0920
(704) 830-5000
Mailing address
10801 JOHNSTON RD STE 210, CHARLOTTE, NC 28226-0920
(704) 830-5000
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
101YP2500X
Professional Counselor
—
—
Other
Enumeration date
05/18/2024
Last updated
05/18/2024
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