| Prism Counseling Services, Llc | |
|
175 N Daleville Ave Ste A Daleville AL 36322-2019 | |
| (334) 475-3729 | |
| Not Available |
| Full Name | Prism Counseling Services, Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 175 N Daleville Ave Ste A, Daleville, Alabama |
| Authorized Official Name and Position | Amanda Ezell (OWNER) |
| Authorized Official Contact | 3344753729 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Prism Counseling Services, Llc 175 North Daleville Ave Suite A Daleville AL 36322 Ph: (334) 475-3729 | Prism Counseling Services, Llc 175 N Daleville Ave Ste A Daleville AL 36322-2019 Ph: (334) 475-3729 |
| NPI Number | 1780354746 |
|---|---|
| Provider Enumeration Date | 09/20/2021 |
| Last Update Date | 05/11/2025 |
| Certification Date | 05/11/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780354746 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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