| Prismatic Self Counseling Llc | |
|
276 Valley Stream Dr Holly MI 48442-1571 | |
| (321) 276-4583 | |
| Not Available |
| Full Name | Prismatic Self Counseling Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 276 Valley Stream Dr, Holly, Michigan |
| Authorized Official Name and Position | Michelle Thorburn (OWNER/THERAPIST) |
| Authorized Official Contact | 3212764583 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Prismatic Self Counseling Llc 276 Valley Stream Dr Holly MI 48442-1571 Ph: (321) 276-4583 | Prismatic Self Counseling Llc 276 Valley Stream Dr Holly MI 48442-1571 Ph: (321) 276-4583 |
| NPI Number | 1437035151 |
|---|---|
| Provider Enumeration Date | 08/15/2025 |
| Last Update Date | 08/15/2025 |
| Certification Date | 08/15/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437035151 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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