MOSAIC LEAF THERAPY AND WELLNESS, LLC (NPI# 1174002356) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174002356 |
| Entity Type | Organization |
| Organization Name | MOSAIC LEAF THERAPY AND WELLNESS, LLC |
| Practice Address |
200 W Madison St Ste 2100 Chicago IL 60606 |
| Mailing Address |
200 W Madison St Ste 2100 Chicago IL 60606-3521 |
| Practice Telephone | 3125228280 |
| Mailing Telephone | 3125228280 |
| Enumeration Date | 2018-08-09 |
| Last Update Date | 2018-09-06 |
| Authorized Official Name | DR. THERESSA L LABARRIE MITCHELL (CLINICAL PSYCHOLOGIST AND FOUNDER) |
| Authorized Official Telephone | 3125228280 |
| Authorized Official Credential | PHD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
071.009800 | IL | Ambulatory Health Care Facilities |
| N | 261QM0855X |
Clinic/Center Specialization: Adolescent and Children Mental Health |
071.009800 | IL | Ambulatory Health Care Facilities |
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
071.009800 | IL | Ambulatory Health Care Facilities |
| Street Address |
200 W MADISON ST STE 2100 |
| City | CHICAGO |
| State | IL |
| Zip Code | 60606 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821340613 | Mary Maraventano Stried | Counselor | 200 W Madison St Ste 2100, Chicago, IL 60606-3521 | 2012-10-04 |
| 1588293831 | Jasmine Almond | Case Manager/Care Coordinator | 200 W Madison St Ste 2100, Chicago, IL 60606-3521 | 2020-04-07 |
| 1558907659 | Jordan Gamby | Case Manager/Care Coordinator | 200 W Madison St Ste 2100, Chicago, IL 60606-3521 | 2019-11-23 |
| 1770046575 | Healthy Life, LLC | Clinic/Center | 200 W Madison St Ste 2100, Chicago, IL 60606-3521 | 2019-04-09 |
| 1386114122 | Cassandra Christine Kandah | Clinical Neuropsychologist | 200 W Madison St Ste 2100, Chicago, IL 60606-3521 | 2018-12-04 |
| 1992204002 | Inner Healing Psychotherapy, LLC | Counselor | 200 W Madison St Ste 2100, Chicago, IL 60606-3521 | 2018-02-04 |
| 1528576063 | Be A Blessing Health Services | In Home Supportive Care | 200 W Madison St Ste 2100, Chicago, IL 60606-3521 | 2018-01-18 |
| 1356791917 | Theressa L. Labarrie Mitchell | Psychologist | 200 W Madison St Ste 2100, Chicago, IL 60606-3521 | 2016-06-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588286462 | James Topolski | Counselor | 150 S Wacker Driver, Ste 2400, Chicago, IL 60606 | 2020-05-13 |
| 1124500046 | R.c. & Associates LLC | Marriage & Family Therapist | 150 South Wacker Drive, #2400, Chicago, IL 60606 | 2018-09-06 |
| 1720581101 | Arch Angel Services | Counselor | 10 S. Riverside Plaza, Suite 875, Chicago, IL 60606 | 2018-03-13 |
| 1316453178 | Johanna Richter Nutrition & Wellness LLC | Dietitian, Registered | 211 W Wacker Dr Ste 230, Chicago, IL 60606 | 2017-12-15 |
| 1215466792 | Kelly Albers | Physical Therapist | 125 South Wacker Drive, 475, Chicago, IL 60606 | 2017-06-08 |
| 1336676923 | Villagemd Indiana, PC | Internal Medicine | 1 N Franklin St Ste 1205, Chicago, IL 60606 | 2017-05-15 |
| 1255880555 | Katie Marie Edwards-humpal | Nurse Practitioner | 225 W Washington 2floor, Chicago, IL 60606 | 2016-09-27 |
| 1922454255 | Revolution Physical Therapy Weight Loss | Clinic/Center | 205 N. Wells St., Chicago, IL 60606 | 2016-05-05 |
| 1558725101 | Robin Weber | Physical Therapy Assistant | 205 N. Wells Street, Chicago, IL 60606 | 2016-04-11 |
| 1427439041 | Kathleen Habschmidt | Physical Therapist | 1020 W Wacker Dr, Suite 205, Chicago, IL 60606 | 2015-06-10 |
| Find all providers in zip 60606 | ||||
| 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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| 1386241123 | Envision Unlimited | Clinic/Center | 1801 N Spaulding Ave, Chicago, IL 60647-4926 | 2020-10-05 |
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| 1619574803 | Envision Unlimited | Clinic/Center | 2124 W 82nd Pl, Chicago, IL 60620-5358 | 2020-10-01 |
| 1144827320 | Envision Unlimited | Clinic/Center | 4919 N Clark St, Chicago, IL 60640-3514 | 2020-10-01 |
| 1194322370 | Envision Unlimited | Clinic/Center | 4911 S Hoyne Ave, Chicago, IL 60609-4721 | 2020-10-01 |
| 1144837055 | Totality. Therapies LLC | Clinic/Center | 2027 W Division St Ste 157, Chicago, IL 60622-9024 | 2020-09-24 |
| 1790391373 | Luminary Solutions, LLC | Clinic/Center | 3166 N Lincoln Ave Ste 305, Chicago, IL 60657-3119 | 2020-09-19 |
| 1114533924 | A Safe Haven, L.L.C. | Clinic/Center | 600 S Wabash Ave, Chicago, IL 60605-1808 | 2020-09-17 |
| 1235745142 | A Safe Haven, L.L.C. | Clinic/Center | 7355 N Damen Ave, Chicago, IL 60645-2311 | 2020-09-17 |
| 1386250199 | A Safe Haven, L.L.C. | Clinic/Center | 7342-46 S Kingston, Chicago, IL 60649 | 2020-09-17 |
| Find all providers in CHICAGO | ||||
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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.