Prism Psych, Pllc

LBN: Prism Psych, Pllc
Prism Psych, Pllc is an health care organization with primary practice located at 2817 Blackfoot Rd , Vancleave MS 39565-8321. The organization recently has only one registered license in Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), which is considered as the primary health care specialty. Prism Psych, Pllc can be contacted via phone (423) 748-2966, or through Favre, Latoya R via phone (423) 748-2966.

Contact Information

Primary practice address
2817 Blackfoot Rd Vancleave MS 39565-8321
Phone: (423) 748-2966
Fax: (615) 247-6510
Website:
Map and Directions
Authorized official contact:
Name: Favre, Latoya R PHD
Phone: (423) 748-2966

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X

Profile Details

NPI number 1154043495
LBN Legal business name Prism Psych, Pllc
DBA Doing business as
Authorized official Favre, Latoya R PHD
Entity Organization
Organization subpart 1 No
Enumeration date Sep 14th, 2022
Last updated Sep 14th, 2022 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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