PRISM PSYCH, PLLC
NPI 1154043495
Clinic/Center - Mental Health (Including Community Mental Health Center) in Vancleave, MS

Q: What is Prism Psych, PLLC's NPI number?

The NPI number for Prism Psych, PLLC is 1154043495. It was assigned to this organization in the NPPES registry on September 14, 2022.

Q: What is Prism Psych, PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

Q: When was this NPI record last updated?

The NPPES record for Prism Psych, PLLC was last updated on September 14, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since September 14, 2022

2817 BLACKFOOT RD, VANCLEAVE, MS 39565(423) 748-2966(615) 247-6510 Get Directions Write a Review

NPPES record last updated: September 14, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Prism Psych, Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PRISM PSYCH, PLLC (NPI 1154043495) is a healthcare organization registered as a mental health (including community mental health center) in Vancleave, Mississippi and active in the NPI registry since September 2022. The organization lists Latoya R Favre, Licensed Psychologist, as its authorized official.

NPPES Registry Identity

NPI1154043495

Entity TypeOrganization

Primary Taxonomy261QM0801X

Legal Business NamePRISM PSYCH, PLLC

Location Address2817 BLACKFOOT RDVancleave, MS 39565-8321

Mailing Address2817 Blackfoot RdVancleave, MS 39565-8321 · (423) 748-2966 · Fax (615) 247-6510

Phone(423) 748-2966

Fax(615) 247-6510

Organization SubpartNo

Authorized OfficialLatoya R FavreLicensed Psychologist · (423) 748-2966

Enumeration DateSeptember 14, 2022

NPPES CertifiedSeptember 14, 2022

✔ NPI 1154043495 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities

Taxonomy Code261QM0801X

2817 BLACKFOOT RD, Vancleave, MS 39565

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Other Names 1

Former Legal Business NamePrism Psych, Pllc

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Prism Psych, PLLC's NPI number?

The NPI number for Prism Psych, PLLC is 1154043495. It was assigned to this organization in the NPPES registry on September 14, 2022.

Where is Prism Psych, PLLC located?

Prism Psych, PLLC is located at 2817 Blackfoot Rd, Vancleave, MS 39565. The listed phone number is (423) 748-2966.

What is Prism Psych, PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

When was this NPI record last updated?

The NPPES record for Prism Psych, PLLC was last updated on September 14, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.