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General NPI Number Information
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NPI Number | 1083043848
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Entity Type | Organization
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Legal Business Name | P R I S M BEHAVIORAL HEALTHCARE
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Dates
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Enumeration Date | 11/02/2013
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Last Update Date | 05/21/2025
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Provider Practice Location Address
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Address Line | 14 S PAINT STREET SUITE 74
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City | CHILLICOTHEE
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State | OH
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Zip | 45601
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Country | US
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Telephone | 740-771-9051
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Fax | 740-879-2970
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Provider Business Mailing Address
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Address Line | 345 E MAIN STREET SUITE C
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City | JACKSON
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State | OH
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Zip | 45640
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Country | US
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Telephone | 740-577-3186
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Fax | 740-879-2970
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Authorized Official
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Title or Position | ADMINISTRATIVE OFFICER
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Name | LISA HUNT
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Credential |
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Telephone | 740-771-9051
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 3245S0500X
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Taxonomy Name | Children's Substance Abuse Rehabilitation Facility
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License Number |
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License Number State |
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