# PRISM II, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1104140565
- **Authorized official:** MR. JOE BIENVENU OT (PARTNER)
- **Authorized official phone:** (318) 481-2148

## Contact information

- **Practice address:** 740 KEYSER AVE, NATCHITOCHES, LA 71457-6037
- **Practice address phone:** (318) 214-0088
- **Practice address fax:** (318) 214-9009
- **Mailing address:** 740 KEYSER AVE, NATCHITOCHES, LA 71457-6037
- **Mailing address phone:** (318) 214-0088
- **Mailing address fax:** (318) 214-9009

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | — | NULL | Yes |
| 225100000X | Physical Therapist | — | — | Yes |
| 225X00000X | Occupational Therapist | — | NULL | — |
| 225X00000X | Occupational Therapist | — | — | — |

## Other

- **Enumeration date:** 03/15/2010
- **Last updated:** 03/15/2010

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1362630 | — | LA |
| 05 | — | 1524069 | — | LA |