Organization
PRISM COUNSELING SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANNA NANCE LPC (OWNER)
(404) 375-2675
Entity
Organization
Contact information
Practice address
15 LAGRANGE ST STE C, NEWNAN, GA 30263-2693
(470) 421-9459
Mailing address
23 WESLEY ST, NEWNAN, GA 30263-2012
(404) 375-2675
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
01/24/2020
Last updated
01/24/2020
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