Organization
MOSAIC COUNSELING AND PSYCHOTHERAPY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM S. CAREY LICSW (VICE PRESIDENT)
(401) 658-6114
Entity
Organization
Contact information
Practice address
145 WATERMAN ST, PROVIDENCE, RI 02906-2128
(401) 658-6114
(401) 861-1250
Mailing address
145 WATERMAN ST, PROVIDENCE, RI 02906-2128
(401) 658-6114
(401) 861-1250
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
PS01086
RI
1041C0700X
Clinical Social Worker
Primary
001505ISW
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
WC3213
—
RI
Enumeration date
06/10/2009
Last updated
07/27/2009
Update your record
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