Mosaic Counseling, LLC

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

MT3121 Issued in FL

Legal business name

MOSAIC COUNSELING, LLC

Practice address

4400 N Highway 19a Ste 5
Mount Dora, FL 32757-2022

Phone

(352) 501-8210

Fax

(407) 867-6316

NPI assigned

May 23, 2017

Organization subpart

No

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

Authorized official

Name

Wendy Taylor, LMFTNPI 1013374412

Title

Owner

Phone

(352) 501-8210

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Life and Hope Counseling Center Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Wendy Taylor, LMFT

  • Marriage & Family Therapist
  • Mount Dora, FL
  • NPI 1013374412
  NPD (past) Authorized official

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

{
    "created_epoch": "1495497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521244800000",
    "number": "1891223756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33211 KAYLEE WAY",
            "city": "LEESBURG",
            "state": "FL",
            "postal_code": "347883831",
            "telephone_number": "352-501-8210",
            "fax_number": "407-867-6316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4400 N HIGHWAY 19A STE 5",
            "city": "MOUNT DORA",
            "state": "FL",
            "postal_code": "327572022",
            "telephone_number": "352-501-8210",
            "fax_number": "407-867-6316"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "336 N Woodland Blvd",
            "address_purpose": "LOCATION",
            "city": "Deland",
            "state": "FL",
            "postal_code": "327203458",
            "country_code": "US",
            "telephone_number": "352-501-8210",
            "fax_number": "407-867-6316",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MOSAIC COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-23",
        "last_updated": "2018-03-17",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "WENDY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "352-501-8210",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "FL",
            "license": "MT3121",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "016559600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Life and Hope Counseling Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Gladys B Moon, R.PH.
• Madison Morgan
• Briar Nicole Moroney, M.A., BCBA
• Megan Cheoko Morris
• Paulette Morris
• Nicole Mosos, H.A.S.
• Mahogany Moton, RBT
• Ayham Mouawad, MD
• William David Moulder, P.T.
• Mount Dora Dental & Dentures

• Marriage & Family Therapist in Mount Dora, FL
• Providers in Mount Dora, FL by specialty
• Marriage & Family Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.