| Mosaic Counseling Services | |
|
1921 Carlisle Blvd Ne Ste A Albuquerque NM 87110-4971 | |
| (505) 750-4243 | |
| Not Available |
| Full Name | Mosaic Counseling Services |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 1921 Carlisle Blvd Ne Ste A, Albuquerque, New Mexico |
| Authorized Official Name and Position | Julie K Gray (OWNER) |
| Authorized Official Contact | 5057203781 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mosaic Counseling Services 4804 Overland St Ne Albuquerque NM 87109-2667 Ph: (505) 750-4243 | Mosaic Counseling Services 1921 Carlisle Blvd Ne Ste A Albuquerque NM 87110-4971 Ph: (505) 750-4243 |
| NPI Number | 1326646944 |
|---|---|
| Provider Enumeration Date | 10/15/2020 |
| Last Update Date | 03/31/2025 |
| Certification Date | 03/31/2025 |
| Medicare PECOS PAC ID | 8921418484 |
|---|---|
| Medicare Enrollment ID | O20201112000268 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326646944 | NPI | - | NPPES |
| 40488063 | Medicaid | NM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Secondary |
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Julie K Gray |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1972904001 PECOS PAC ID: 0749690204 Enrollment ID: I20201112000303 |
| Provider Name | Erin Shatzer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1679206619 PECOS PAC ID: 1153845151 Enrollment ID: I20250411001513 |
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