MOSAIC WELLNESS COLLECTIVE, LLC (NPI# 1235798315) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235798315 |
| Entity Type | Organization |
| Organization Name | MOSAIC WELLNESS COLLECTIVE, LLC |
| Practice Address |
1200 W Platt St Ste 202 Tampa FL 33606-2136 |
| Mailing Address |
6105 Chene Ct Lutz FL 33558-2849 |
| Practice Telephone | 8138621236 |
| Mailing Telephone | 6154289458 |
| Enumeration Date | 2019-06-11 |
| Last Update Date | 2019-06-11 |
| Authorized Official Name | LISA MICHELLE GIARRATANA (OWNER/THERAPIST) |
| Authorized Official Telephone | 8138621236 |
| Authorized Official Credential | LCSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities |
| Street Address |
1200 W PLATT ST STE 202 |
| City | TAMPA |
| State | FL |
| Zip Code | 33606-2136 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265986418 | Diana Harris Johnson | Counselor | 1200 W Platt St Ste 202, Tampa, FL 33606-2136 | 2016-08-04 |
| 1902425390 | Kris Mulhollen LLC | Clinic/Center | 1200 W Platt St Ste 202, Tampa, FL 33606-2136 | 2020-04-15 |
| 1407412075 | Healthy Mind, Corp | Clinic/Center | 1200 W Platt St Ste 202, Tampa, FL 33606-2136 | 2019-05-19 |
| 1427557032 | Jessica Watson Counseling, LLC | Social Worker | 1200 W Platt St Ste 202, Tampa, FL 33606-2136 | 2018-02-08 |
| 1598264889 | Thrive & Well, LLC | Counselor | 1200 W Platt St Ste 202, Tampa, FL 33606-2136 | 2018-02-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235758749 | Seyed Shayan Ahmad Falasiri | Student in an Organized Health Care Education/Training Program | 17 Davis Blvd. #308, Tampa, FL 33606 | 2020-04-14 |
| 1174156400 | Jessica Styles | Specialist/Technologist | The University of Tampa, 401 W. Kennedy Blvd, Tampa, FL 33606 | 2020-02-14 |
| 1295389757 | David Green | Specialist/Technologist | 401 W. Kennedy Blvd Box: I, Tampa, FL 33606 | 2019-08-01 |
| 1417514720 | Four Winds Counseling LLC | Counselor | 611 West Bay Street, Tampa, FL 33606 | 2019-05-22 |
| 1699238014 | Azubuogu Charles Anudu | Student in an Organized Health Care Education/Training Program | 17 Davis Blvd., Suite 308 Tampa, Fl 33606, Tampa, FL 33606 | 2019-04-11 |
| 1508327883 | D'arcy Jocelyn Arden Wainwright | Student in an Organized Health Care Education/Training Program | 17 David Blvd., Suite 308, Tampa, FL 33606 | 2019-03-28 |
| 1659851772 | Heather Widmer | Counselor | 202 N Howard Ave, Tampa, FL 33606 | 2018-08-17 |
| 1447737291 | Jonathan T Bell | Marriage & Family Therapist | 425 S. Orleans Ave, Tampa, FL 33606 | 2018-07-24 |
| 1184157539 | Alexander Lim | Student in an Organized Health Care Education/Training Program | 17 David Blvd, Suite 308, Tampa, FL 33606 | 2017-04-04 |
| 1760913057 | Melanie Loretta Bradley | Student in an Organized Health Care Education/Training Program | 17 Davis Blvd. Suite 308, University of South Florida, Morsani College of Medicin, Tampa, FL 33606 | 2017-03-27 |
| Find all providers in zip 33606 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
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| 1336775733 | Life Balance Medical Group LLC | Clinic/Center | 4102 W Linebaugh Ave Ste 101, Tampa, FL 33624-5296 | 2020-03-17 |
| 1104457977 | Lara Health and Wellness Center LLC | Clinic/Center | 3105 W Waters Ave Ste 105, Tampa, FL 33614-2846 | 2020-01-30 |
| 1588204192 | Natalie Rosado | Clinic/Center | 7302 Sheldon Rd, Tampa, FL 33615-2327 | 2020-01-11 |
| 1003477662 | Embracing Changes Center for Wellness | Clinic/Center | 2203 N Lois Ave Ste 903, Tampa, FL 33607-2306 | 2019-06-25 |
| 1508324781 | Breakthrough Counseling Services, LLC | Clinic/Center | 3105 W Azeele St, Tampa, FL 33609-3089 | 2019-03-07 |
| 1013405281 | Crudup Psychological Services LLC | Clinic/Center | 10001 Cross Creek Blvd, Tampa, FL 33647-2581 | 2018-04-24 |
| 1346753134 | Mental Fitness Group, LLC | Clinic/Center | 8875 Hidden River Pkwy Ste 300, Tampa, FL 33637 | 2017-11-15 |
| Find all providers in TAMPA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.