| Mosaic Mission | |
| 
					2927 Glenbroke St Keego Harbor MI 48320-1102  | |
| (734) 972-5679 | |
| Not Available | 
| Full Name | Mosaic Mission | 
|---|---|
| Speciality | Social Worker - Clinical | 
| Location | 2927 Glenbroke St, Keego Harbor, Michigan | 
| Authorized Official Name and Position | Kimberly D Keller (OWNER) | 
| Authorized Official Contact | 7349725679 | 
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Mosaic Mission 2927 Glenbroke St Keego Harbor MI 48320-1102 Ph: (734) 972-5679  | Mosaic Mission 2927 Glenbroke St Keego Harbor MI 48320-1102 Ph: (734) 972-5679  | 
| NPI Number | 1417503335 | 
|---|---|
| Provider Enumeration Date | 08/15/2019 | 
| Last Update Date | 10/09/2019 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1417503335 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary | 
Full Circle Behavioral Health, Pc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3467 Orchard Lake Rd, Keego Harbor, MI 48320 Phone: 248-722-2653 Fax: 248-682-0612  | |
Cory J Mullins, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1711 Cass Lake Rd, Keego Harbor, MI 48320 Phone: 248-895-1455 Fax: 248-481-4352  |