Organization
PRISM INTEGRATIVE HEALTH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SASHA BERGERON NP (CO-FOUNDER)
(202) 213-4829
Entity
Organization
Contact information
Practice address
8030 WOODMONT AVE FL 3, BETHESDA, MD 20814-3027
(301) 651-0303
Mailing address
8030 WOODMONT AVE FL 3, BETHESDA, MD 20814-3027
(202) 213-4829
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
06/17/2020
Last updated
06/18/2020
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