| Mosaic Family Services Llc | |
|
13300 Atlantic Blvd Apt 924 Jacksonville FL 32225-6137 | |
| (904) 527-5202 | |
| (904) 527-5202 |
| Full Name | Mosaic Family Services Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 13300 Atlantic Blvd Apt 924, Jacksonville, Florida |
| Authorized Official Name and Position | Timothy David Berry (OWNER/THERAPIST) |
| Authorized Official Contact | 9045275202 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mosaic Family Services Llc 1015 Atlantic Blvd # 235 Atlantic Beach FL 32233-3313 Ph: (904) 527-5202 | Mosaic Family Services Llc 13300 Atlantic Blvd Apt 924 Jacksonville FL 32225-6137 Ph: (904) 527-5202 |
| NPI Number | 1417623778 |
|---|---|
| Provider Enumeration Date | 08/17/2021 |
| Last Update Date | 08/17/2021 |
| Certification Date | 08/17/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417623778 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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