| Mosaic Therapy Collective Pllc | |
|
8096 Brighton Road Unit #326 Dupont CO 80024 | |
| (720) 248-7318 | |
| (720) 806-5612 |
| Full Name | Mosaic Therapy Collective Pllc |
|---|---|
| Speciality | Psychologist - Counseling |
| Location | 8096 Brighton Road, Dupont, Colorado |
| Authorized Official Name and Position | Brooke Powers (CEO; LICENSED PSYCHOLOGIST) |
| Authorized Official Contact | 7202487318 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mosaic Therapy Collective Pllc Po Box 326 Dupont CO 80024-0326 Ph: (720) 248-7318 | Mosaic Therapy Collective Pllc 8096 Brighton Road Unit #326 Dupont CO 80024 Ph: (720) 248-7318 |
| NPI Number | 1093549040 |
|---|---|
| Provider Enumeration Date | 08/30/2024 |
| Last Update Date | 08/30/2024 |
| Certification Date | 08/27/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093549040 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC1900X | Psychologist - Counseling | (* (Not Available)) | Primary |