Healthcare Provider Details

I. General information

NPI: 1629910096
Provider Name (Legal Business Name): MOZAIC; PUTTING THE PIECES TOGETHER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/07/2026
Last Update Date: 04/07/2026
Certification Date: 04/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

716 CATHERINE ST SW
ATLANTA GA
30310-3421
US

IV. Provider business mailing address

716 CATHERINE ST SW
ATLANTA GA
30310-3421
US

V. Phone/Fax

Practice location:
  • Phone: 845-313-9076
  • Fax:
Mailing address:
  • Phone: 845-313-9076
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code320800000X
TaxonomyMental Illness Community Based Residential Treatment Facility
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code320900000X
TaxonomyIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
License Number
License Number State

VIII. Authorized Official

Name: MS. JENNIFER CABARCAS
Title or Position: OWNER
Credential: MA.PSYCH S/T
Phone: 845-313-9076