| Prism Wellness | |
|
1140 Kildaire Farm Rd Ste 307 Cary NC 27511-7600 | |
| (919) 418-1772 | |
| (919) 651-1042 |
| Full Name | Prism Wellness |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 1140 Kildaire Farm Rd Ste 307, Cary, North Carolina |
| Authorized Official Name and Position | Lesley Kellogg (OWNER) |
| Authorized Official Contact | 9194181772 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Prism Wellness 1140 Kildaire Farm Rd Ste 307 Cary NC 27511-7600 Ph: (919) 418-1772 | Prism Wellness 1140 Kildaire Farm Rd Ste 307 Cary NC 27511-7600 Ph: (919) 418-1772 |
| NPI Number | 1952929747 |
|---|---|
| Provider Enumeration Date | 07/08/2020 |
| Last Update Date | 12/19/2022 |
| Certification Date | 12/19/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952929747 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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