Provider Demographics
NPI:1831932540
Name:MOSAIC CENTER FOR PSYCHOLOGICAL WHOLENESS, PLLC
Entity type:Organization
Organization Name:MOSAIC CENTER FOR PSYCHOLOGICAL WHOLENESS, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED PSYCHOLOGIST, MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:BENJAMIN
Authorized Official - Middle Name:CHRISTOPHER
Authorized Official - Last Name:ANDREWS
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:919-893-2010
Mailing Address - Street 1:1709 LEGION RD STE 211
Mailing Address - Street 2:
Mailing Address - City:CHAPEL HILL
Mailing Address - State:NC
Mailing Address - Zip Code:27517-2374
Mailing Address - Country:US
Mailing Address - Phone:919-893-2010
Mailing Address - Fax:919-893-2011
Practice Address - Street 1:1709 LEGION RD STE 211
Practice Address - Street 2:
Practice Address - City:CHAPEL HILL
Practice Address - State:NC
Practice Address - Zip Code:27517-2374
Practice Address - Country:US
Practice Address - Phone:919-893-2010
Practice Address - Fax:919-893-2011
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-06-18
Last Update Date:2025-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Single Specialty