| Mosaic Family Services, Ltd. | |
|
1405 East Main Street New Prague MN 56071 | |
| (952) 217-6419 | |
| (952) 758-9022 |
| Full Name | Mosaic Family Services, Ltd. |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 1405 East Main Street, New Prague, Minnesota |
| Authorized Official Name and Position | Jeremy Robison Faus (DIRECTOR) |
| Authorized Official Contact | 9522176419 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mosaic Family Services, Ltd. 1405 East Main Street New Prague MN 56071 Ph: (952) 217-6419 | Mosaic Family Services, Ltd. 1405 East Main Street New Prague MN 56071 Ph: (952) 217-6419 |
| NPI Number | 1275195737 |
|---|---|
| Provider Enumeration Date | 07/05/2019 |
| Last Update Date | 07/05/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275195737 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Secondary |
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
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