Organization
MOSAIC PSYCHOLOGICAL SERVICES, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROSANNA LORA PHD (CLINICAL PSYCHOLOGIST)
(919) 298-2424
Entity
Organization
Contact information
Practice address
1788 HERITAGE CENTER DR STE 202, WAKE FOREST, NC 27587-3972
(919) 298-2424
Mailing address
11845 RETAIL DR # 1056, WAKE FOREST, NC 27587-7352
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
09/28/2023
Last updated
09/28/2023
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