Healthcare Provider Details

I. General information

NPI: 1346162641
Provider Name (Legal Business Name): PRISM REVENUE CYCLE & CLINICAL SYSTEMS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/28/2026
Last Update Date: 07/28/2026
Certification Date: 07/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5432 NORTHCREST LN APT 3
CINCINNATI OH
45247-6415
US

IV. Provider business mailing address

5432 NORTHCREST LN APT 3
CINCINNATI OH
45247-6415
US

V. Phone/Fax

Practice location:
  • Phone: 513-900-7619
  • Fax:
Mailing address:
  • Phone: 513-900-7619
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: MICHAEL COLLINS
Title or Position: VICE PRESIDENT
Credential: LPCC-S, LICDC
Phone: 513-518-5596