| Mosaic Therapy Group | |
|
7777 Washington Ave S Edina MN 55439-2422 | |
| (651) 398-6877 | |
| (612) 315-6001 |
| Full Name | Mosaic Therapy Group |
|---|---|
| Speciality | Clinic/Center |
| Location | 7777 Washington Ave S, Edina, Minnesota |
| Authorized Official Name and Position | Naomi Schwenke (FOUNDER, CEO) |
| Authorized Official Contact | 6124641400 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mosaic Therapy Group 7777 Washington Ave S Ste 101 Edina MN 55439-2469 Ph: (651) 398-6877 | Mosaic Therapy Group 7777 Washington Ave S Edina MN 55439-2422 Ph: (651) 398-6877 |
| NPI Number | 1679167126 |
|---|---|
| Provider Enumeration Date | 02/25/2021 |
| Last Update Date | 12/06/2024 |
| Certification Date | 12/06/2024 |
| Medicare PECOS PAC ID | 7810427986 |
|---|---|
| Medicare Enrollment ID | O20250205002591 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679167126 | NPI | - | NPPES |
| Provider Name | David Adair |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1508459462 PECOS PAC ID: 0547611634 Enrollment ID: I20240112003915 |
| Provider Name | Naomi Joy Schwenke |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1912142712 PECOS PAC ID: 8729518899 Enrollment ID: I20250205002689 |
| Provider Name | Jacqueline Laplant |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1598591513 PECOS PAC ID: 0345770392 Enrollment ID: I20250206001733 |
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