Organization
PRISM COUNSELING SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMANDA EZELL LPC, NCC, BC-TMH (OWNER)
(334) 475-3729
Entity
Organization
Contact information
Practice address
175 N DALEVILLE AVE STE A, DALEVILLE, AL 36322-2019
(334) 475-3729
Mailing address
175 NORTH DALEVILLE AVE, SUITE A, DALEVILLE, AL 36322
(334) 475-3729
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
09/20/2021
Last updated
05/11/2025
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