Organization
PRISM THERAPY AND WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMBER CARLILE LCSW (OWNER/SOLE MEMBER)
(931) 624-4111
Entity
Organization
Contact information
Practice address
1034 NE 97TH ST, KANSAS CITY, MO 64155-2105
(913) 912-3803
Mailing address
1034 NE 97TH ST, KANSAS CITY, MO 64155-2105
(913) 912-3803
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
07/18/2025
Last updated
07/18/2025
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