Organization
MOSAIC COUNSELING AND WELLNESS LLC
Active
Other names
Mosaic Counseling and Wellness
Organization subpart
No
Provider details
NPI number
Authorized official
CAREY CARLOCK MA (MANAGER)
(708) 628-8000
Entity
Organization
Contact information
Practice address
1010 LAKE ST, OAK PARK, IL 60301-1147
(708) 628-8000
Mailing address
386 N. YORK RD, SUITE 204, ELMHURST, IL 60126-2365
(708) 628-8000
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
Other
Enumeration date
08/05/2021
Last updated
06/23/2023
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