| Prism Counseling | |
|
3025 Bull St Ste 227 Savannah GA 31405-2016 | |
| (912) 272-7536 | |
| (912) 202-1003 |
| Full Name | Prism Counseling |
|---|---|
| Speciality | Clinic/Center |
| Location | 3025 Bull St Ste 227, Savannah, Georgia |
| Authorized Official Name and Position | Kayla Mazzoni (COUNSELOR) |
| Authorized Official Contact | 9126317241 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Prism Counseling 4656 Sylvan Dr Savannah GA 31405-5132 Ph: (912) 631-7241 | Prism Counseling 3025 Bull St Ste 227 Savannah GA 31405-2016 Ph: (912) 272-7536 |
| NPI Number | 1154007540 |
|---|---|
| Provider Enumeration Date | 06/22/2023 |
| Last Update Date | 06/22/2023 |
| Certification Date | 06/22/2023 |
| Medicare PECOS PAC ID | 3577914282 |
|---|---|
| Medicare Enrollment ID | O20240108000202 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154007540 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Kayla Mazzoni |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1194274977 PECOS PAC ID: 4486005196 Enrollment ID: I20240108000235 |
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