| Prism Counseling Services | |
|
15 Lagrange St Ste C Newnan GA 30263-2693 | |
| (470) 421-9459 | |
| Not Available |
| Full Name | Prism Counseling Services |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 15 Lagrange St Ste C, Newnan, Georgia |
| Authorized Official Name and Position | Anna Nance (OWNER) |
| Authorized Official Contact | 4043752675 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Prism Counseling Services 23 Wesley St Newnan GA 30263-2012 Ph: (404) 375-2675 | Prism Counseling Services 15 Lagrange St Ste C Newnan GA 30263-2693 Ph: (470) 421-9459 |
| NPI Number | 1033749437 |
|---|---|
| Provider Enumeration Date | 01/24/2020 |
| Last Update Date | 01/24/2020 |
| Certification Date | 01/24/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033749437 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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