Prism Counseling Services, LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

PRISM COUNSELING SERVICES, LLC

Practice address

175 N Daleville Ave Ste a
Daleville, AL 36322-2019

Phone

(334) 475-3729

NPI assigned

Sep 20, 2021

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Amanda Ezell, LPC, NCC, BC-TMHNPI 1851867931

Title

Owner

Phone

(334) 475-3729

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Amanda Kay Ezell, LPC, NCC, BC-TMH

  • Counselor
  • Daleville, AL
  • NPI 1851867931
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1632096000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1746921600000",
    "number": "1780354746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "175 NORTH DALEVILLE AVE",
            "address_2": "SUITE A",
            "city": "DALEVILLE",
            "state": "AL",
            "postal_code": "36322",
            "telephone_number": "334-475-3729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 N DALEVILLE AVE STE A",
            "city": "DALEVILLE",
            "state": "AL",
            "postal_code": "363222019",
            "telephone_number": "334-475-3729"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRISM COUNSELING SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-20",
        "last_updated": "2025-05-11",
        "certification_date": "2025-05-11",
        "status": "A",
        "authorized_official_last_name": "EZELL",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "334-475-3729",
        "authorized_official_credential": "LPC, NCC, BC-TMH"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Clinic/Center (Including Community Mental Health Center) in Daleville, AL
• Providers in Daleville, AL by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.