Provider Demographics
NPI:1437733847
Name:MOSAIC MENTAL HEALTH
Entity Type:Organization
Organization Name:MOSAIC MENTAL HEALTH
Other - Org Name:MOSAIC MENTAL HEALTH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ELIZABETH
Authorized Official - Middle Name:
Authorized Official - Last Name:MACSHADIYA
Authorized Official - Suffix:
Authorized Official - Credentials:PHMNP-BC
Authorized Official - Phone:832-647-1946
Mailing Address - Street 1:24285 KATY FWY STE 300
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77494-1128
Mailing Address - Country:US
Mailing Address - Phone:713-987-7828
Mailing Address - Fax:713-804-9449
Practice Address - Street 1:5757 FLEWELLEN OAKS LN STE 302
Practice Address - Street 2:
Practice Address - City:FULSHEAR
Practice Address - State:TX
Practice Address - Zip Code:77441-1801
Practice Address - Country:US
Practice Address - Phone:832-647-1946
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-05-11
Last Update Date:2024-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty