# PRISM PSYCHIATRY LLC

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

## Provider details

- **NPI number:** 1619682440
- **Authorized official:** ABBAS GHAZI PMHNP-BC (OWNER/MANAGER)
- **Authorized official phone:** (480) 848-1935

## Contact information

- **Practice address:** 4742 N 24TH ST STE 300, PHOENIX, AZ 85016-9107
- **Practice address phone:** (480) 848-1935
- **Mailing address:** 4742 N 24TH ST STE 300, PHOENIX, AZ 85016-9107
- **Mailing address phone:** (480) 848-1935

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 01/17/2023
- **Last updated:** 07/26/2024