Provider Demographics
NPI:1053099416
Name:MOSAIC WAY COUNSELING
Entity type:Organization
Organization Name:MOSAIC WAY COUNSELING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ERIN
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:WALDROP
Authorized Official - Suffix:
Authorized Official - Credentials:MA, LPC
Authorized Official - Phone:940-202-9896
Mailing Address - Street 1:118 STALLION LN
Mailing Address - Street 2:
Mailing Address - City:HICKORY CREEK
Mailing Address - State:TX
Mailing Address - Zip Code:75065-7689
Mailing Address - Country:US
Mailing Address - Phone:409-202-9896
Mailing Address - Fax:940-991-1285
Practice Address - Street 1:9300 JOHN HICKMAN PKWY STE 103
Practice Address - Street 2:
Practice Address - City:FRISCO
Practice Address - State:TX
Practice Address - Zip Code:75035-5712
Practice Address - Country:US
Practice Address - Phone:214-326-0263
Practice Address - Fax:940-991-1285
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-07-06
Last Update Date:2023-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty