Provider Demographics
NPI:1083187058
Name:MOSAIC COUNSELING, LLC
Entity Type:Organization
Organization Name:MOSAIC COUNSELING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PSYCHOTHERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:ANN
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:ARVOY
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:262-229-5573
Mailing Address - Street 1:11431 N PORT WASHINGTON RD STE 260
Mailing Address - Street 2:
Mailing Address - City:MEQUON
Mailing Address - State:WI
Mailing Address - Zip Code:53092-3462
Mailing Address - Country:US
Mailing Address - Phone:262-229-5573
Mailing Address - Fax:262-292-5563
Practice Address - Street 1:11431 N PORT WASHINGTON RD STE 260
Practice Address - Street 2:
Practice Address - City:MEQUON
Practice Address - State:WI
Practice Address - Zip Code:53092-3462
Practice Address - Country:US
Practice Address - Phone:262-229-5573
Practice Address - Fax:262-292-5563
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-01-02
Last Update Date:2023-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty