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Organization
PRISM COMMUNITY MENTAL HEALTH, LLC
Active
Organization
PRISM COMMUNITY MENTAL HEALTH, LLC
Active
Other names
Prism Community Mental Health
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JULIE LYNN JOHNSON LCSW, ACSW (OWNER/OPERATOR)
(904) 654-3275
Entity
Organization
Contact information
Practice address
351 CROSSING BLVD APT 911, ORANGE PARK, FL 32073-6241
(904) 654-3275
Mailing address
351 CROSSING BLVD APT 911, ORANGE PARK, FL 32073-6241
(904) 654-3275
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
06/30/2022
Last updated
06/30/2022
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