| 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 |