MEDICARE: MOSAIC MINDS LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QM0855X	Adolescent and Children Mental Health Clinic/Center

General Provider Information

NPI Number	:	1740132661
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MOSAIC MINDS LLC

Provider Business Mailing Address
First Line	:	5500 W CHANDLER BLVD STE 1
Second Line	:
City	:	CHANDLER
State	:	AZ
Zip	:	85226-3688
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3155 S PRICE RD STE 105
Second Line	:
City	:	CHANDLER
State	:	AZ
Zip	:	85248-3582
Country	:	US
Telephone Number	:	612-505-5494
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	WADE MUHLHAUSER
Credential	:
Telephone Number	:	612-505-5494

Provider Enumeration Date	:	02/12/2026
Last Update Date	:	02/12/2026

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Directions to “MOSAIC MINDS LLC ” Practice Location

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