Healthcare Provider Details

I. General information

NPI: 1760300594
Provider Name (Legal Business Name): MOSAIC MENTAL HEALTH PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/08/2026
Last Update Date: 07/08/2026
Certification Date: 07/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

924 VAN RONKLE ST STE 3
CONWAY AR
72032-4324
US

IV. Provider business mailing address

924 VAN RONKLE ST STE 3
CONWAY AR
72032-4324
US

V. Phone/Fax

Practice location:
  • Phone: 479-790-9307
  • Fax:
Mailing address:
  • Phone: 479-790-9307
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State

VIII. Authorized Official

Name: JOSHUA GARRETT-JONES
Title or Position: MENTAL HEALTH THERAPIST
Credential: MS, LPC
Phone: 479-790-9307