# PRISM INTEGRATIVE HEALTH, LLC

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

## Provider details

- **NPI number:** 1891311718
- **Authorized official:** SASHA BERGERON NP (CO-FOUNDER)
- **Authorized official phone:** (202) 213-4829

## Contact information

- **Practice address:** 8030 WOODMONT AVE FL 3, BETHESDA, MD 20814-3027
- **Practice address phone:** (301) 651-0303
- **Mailing address:** 8030 WOODMONT AVE FL 3, BETHESDA, MD 20814-3027
- **Mailing address phone:** (202) 213-4829

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NULL | Yes |
| 101YM0800X | Mental Health Counselor | — | — | Yes |
| 251S00000X | Community/Behavioral Health Agency | — | NULL | — |
| 261QM0801X | Mental Health Clinic/Center (Including Community Mental Health Center) | — | NULL | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 06/17/2020
- **Last updated:** 06/18/2020