Prism Psych, Pllc
NPI #1154043495 in Vancleave, Mississippi
Provider Information
- NPI Number
- 1154043495
- Entity Type
- Organization
- Organization Name
- Prism Psych, Pllc
- Primary Specialty
- Clinic/Center - Mental Health (Including Community Mental Health Center)
- Enumeration Date
- Sep 14, 2022
- Last Updated
- Sep 14, 2022
Practice Location
- Address
- 2817 BLACKFOOT RD
- City
- Vancleave
- State
- Mississippi
- ZIP Code
- 39565-8321
- Phone
- (423) 748-2966
Authorized Official
- Name
- DR. LATOYA R FAVRE, PHD
- Title
- LICENSED PSYCHOLOGIST
- Phone
- (423) 748-2966
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Mental Health (Including Community Mental Health Center) — Mental Health (Including Community Mental Health Center) |
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