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Organization
PRISM COUNSELING SERVICES, LLC
Active
Organization
PRISM COUNSELING SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MIRANDA SUE CASERO (OWNER)
(512) 843-1451
Entity
Organization
Contact information
Practice address
3009 E 4TH ST, AUSTIN, TX 78702-4811
(419) 706-8726
Mailing address
3009 E. 4TH ST., AUSTIN, TX 78702
(419) 706-8726
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
101YP2500X
Professional Counselor
—
—
1041C0700X
Clinical Social Worker
—
—
2084P0800X
Psychiatry Physician
—
—
251S00000X
Community/Behavioral Health Agency
63208
TX
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
11/21/2016
Last updated
08/19/2022
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