Organization
PRISM COMMUNITY MENTAL HEALTH, LLC
Active
Other names
Prism Community Mental Health
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JULIE LYNN JOHNSON LCSW, ACSW (OWNER/OPERATOR)
(904) 654-3275
Entity
Organization
Contact information
Practice address
351 CROSSING BLVD APT 911, ORANGE PARK, FL 32073-6241
(904) 654-3275
Mailing address
351 CROSSING BLVD APT 911, ORANGE PARK, FL 32073-6241
(904) 654-3275
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
06/30/2022
Last updated
06/30/2022
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