| Mosaic Counseling Centers Of East Texas | |
|
218 N College Ave Suite 608 Tyler TX 75702-5715 | |
| (903) 593-9141 | |
| Not Available |
| Full Name | Mosaic Counseling Centers Of East Texas |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 218 N College Ave, Tyler, Texas |
| Authorized Official Name and Position | Christopher W Taylor (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 9035939141 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mosaic Counseling Centers Of East Texas 218 N College Ave Tyler TX 75702-5715 Ph: (903) 593-9141 | Mosaic Counseling Centers Of East Texas 218 N College Ave Suite 608 Tyler TX 75702-5715 Ph: (903) 593-9141 |
| NPI Number | 1649554676 |
|---|---|
| Provider Enumeration Date | 10/10/2011 |
| Last Update Date | 10/27/2021 |
| Certification Date | 10/27/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649554676 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 00557 (Texas) | Primary |
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