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Contact Information

MOVING MOSAIC THERAPY & COUNSELING, PLLC
2232 S 18TH AVE
NORTH RIVERSIDE, IL60546-1014
 Phone: 773-373-9682
 Fax: 773-312-4876
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Professional

101YP2500X
 

Counselor

101Y00000X
 

Dance Therapist

225600000X
 

Mental Health

101YM0800X
Indicates primary specialty

NPI Profile & details for MOVING MOSAIC THERAPY COUNSELING PLLC · (Female)

NPI Number 1093474652
Status Active
Credentials
Entity Individual
Enumeration date 12/10/2021
Last updated 10/02/2023 - About 3 years ago
Sole proprietor 1 Not specified
Identifiers
  • IL Other 6839423 AETNA PPO OUTPATIENT PROVIDER
  • IL Other 1407515919 NPI
  • IL Other 1518427731 NPI
  • IL Other 1447804869 NPPES
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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