MOVING MOSAIC THERAPY & COUNSELING, PLLC; NPI #1093474652

Contact Information

MOVING MOSAIC THERAPY & COUNSELING, PLLC

2232 S 18TH AVE
NORTH RIVERSIDE, IL 60546-1014

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

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NPI Profile & details for MOVING MOSAIC THERAPY & COUNSELING, PLLC

NPI Number 1093474652

LBN Legal business name MOVING MOSAIC THERAPY & COUNSELING, PLLC

Authorized official KATIE DOMINGUEZ - (CO-FOUNDER/PSYCHOTHERAPIST)

Entity Organization

Organization subpart ¹ No

Enumeration date 12/10/2021

Last updated 10/02/2023 - About 3 years ago

Identifiers

IL	Other	6839423	AETNA PPO OUTPATIENT PROVIDER
IL	Other	1407515919	NPI
IL	Other	1518427731	NPI
IL	Other	1447804869	NPPES

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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MOVING MOSAIC THERAPY & COUNSELING, PLLC

Contact Information

Specialty

Professional

Counselor

Dance Therapist

Mental Health

NPI Profile & details for MOVING MOSAIC THERAPY & COUNSELING, PLLC

Reviews for MOVING MOSAIC THERAPY & COUNSELING, PLLC