MEDICARE: MOSAIC MENTAL HEALTH 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	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1851902274
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MOSAIC MENTAL HEALTH LLC

Provider Business Mailing Address
First Line	:	7783 W THELON CT
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85743-1061
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	510 E FORT LOWELL RD
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85705-3965
Country	:	US
Telephone Number	:	520-499-0768
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	LORI FEINGOLD
Credential	:
Telephone Number	:	520-499-0768

Provider Enumeration Date	:	08/10/2020
Last Update Date	:	12/18/2025

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Directions to “MOSAIC MENTAL HEALTH LLC ” Practice Location

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