Provider Demographics
NPI:1407938020
Name:MOSAIC CONSULTING
Entity Type:Organization
Organization Name:MOSAIC CONSULTING
Other - Org Name:OASIS COUNSELING CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT/ CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:M
Authorized Official - Last Name:MASON
Authorized Official - Suffix:JR
Authorized Official - Credentials:LPC
Authorized Official - Phone:757-301-7129
Mailing Address - Street 1:2697 INTERNATIONAL PKWY
Mailing Address - Street 2:PARKWAY 2, SUITE 101
Mailing Address - City:VIRGINIA BEACH
Mailing Address - State:VA
Mailing Address - Zip Code:23452-7803
Mailing Address - Country:US
Mailing Address - Phone:757-301-7129
Mailing Address - Fax:757-301-7211
Practice Address - Street 1:2697 INTERNATIONAL PKWY
Practice Address - Street 2:PARKWAY 2, SUITE 101
Practice Address - City:VIRGINIA BEACH
Practice Address - State:VA
Practice Address - Zip Code:23452-7803
Practice Address - Country:US
Practice Address - Phone:757-301-7129
Practice Address - Fax:757-301-7211
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-20
Last Update Date:2008-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty