Mosaic Wellness Collective, LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

MOSAIC WELLNESS COLLECTIVE, LLC

Practice address

1200 W Platt St Ste 202
Tampa, FL 33606-2136

Phone

(813) 862-1236

NPI assigned

Jun 11, 2019

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Lisa Michelle Giarratana, LCSW

Title

Owner/Therapist

Phone

(813) 862-1236

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1560211200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560211200000",
    "number": "1235798315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6105 CHENE CT",
            "city": "LUTZ",
            "state": "FL",
            "postal_code": "335582849",
            "telephone_number": "615-428-9458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 W PLATT ST STE 202",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336062136",
            "telephone_number": "813-862-1236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOSAIC WELLNESS COLLECTIVE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-11",
        "last_updated": "2019-06-11",
        "status": "A",
        "authorized_official_last_name": "GIARRATANA",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "MICHELLE",
        "authorized_official_title_or_position": "OWNER/THERAPIST",
        "authorized_official_telephone_number": "813-862-1236",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard James Morse, RPH
• Robert David Morse, CRNA
• Mildred Mortimer
• Ryan Daniel Mortimer, LMT
• Michael Morton, MS
• Millie Anne Moschella
• Lynn Moscinski, MD
• Mark G Moseley, M.D.
• Karen K Moser, NP
• Lisa Mari Moser, PSY.D.

• Mental Health Clinic/Center (Including Community Mental Health Center) in Tampa, FL
• Providers in Tampa, FL by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.