| Prism Counseling Services, Llc | |
|
1132 Beaumont Ave Ste 106 Beaumont CA 92223-1819 | |
| (951) 755-1107 | |
| Not Available |
| Full Name | Prism Counseling Services, Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 1132 Beaumont Ave Ste 106, Beaumont, California |
| Authorized Official Name and Position | Daphne Rae Priddy (MEMBER) |
| Authorized Official Contact | 9517551107 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Prism Counseling Services, Llc 300 S. Highland Springs Ste 6c #140 Banning CA 92220 Ph: (951) 755-1107 | Prism Counseling Services, Llc 1132 Beaumont Ave Ste 106 Beaumont CA 92223-1819 Ph: (951) 755-1107 |
| NPI Number | 1295414332 |
|---|---|
| Provider Enumeration Date | 07/17/2023 |
| Last Update Date | 07/21/2023 |
| Certification Date | 07/18/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295414332 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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