# PRISM THERAPY GROUP LLC

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

## Provider details

- **NPI number:** 1700454121
- **Authorized official:** JESSICA M PLADSEN LMFT (OWNER)
- **Authorized official phone:** (319) 361-9381

## Contact information

- **Practice address:** 1089 LONGFELLOW DR STE C, HIAWATHA, IA 52233-2032
- **Practice address phone:** (319) 361-9381
- **Mailing address:** 2886 61ST STREET LN LOT 4, VINTON, IA 52349-9265
- **Mailing address phone:** (319) 361-9381

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NULL | — |
| 101YM0800X | Mental Health Counselor | — | — | — |
| 1041C0700X | Clinical Social Worker | — | NULL | — |
| 1041C0700X | Clinical Social Worker | — | — | — |
| 106H00000X | Marriage & Family Therapist | — | NULL | Yes |
| 106H00000X | Marriage & Family Therapist | — | — | Yes |

## Other

- **Enumeration date:** 06/13/2021
- **Last updated:** 07/26/2021