Organization
PRISMATIC SELF COUNSELING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE THORBURN (OWNER/THERAPIST)
(321) 276-4583
Entity
Organization
Contact information
Practice address
1000 JOHN R RD STE 218, TROY, MI 48083-4317
(947) 225-7757
Mailing address
276 VALLEY STREAM DR, HOLLY, MI 48442-1571
(321) 276-4583
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
08/15/2025
Last updated
01/29/2026
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