ETHOS PRISM, LLC (NPI# 1932761897) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1932761897 |
Entity Type | Organization |
Organization Name | ETHOS PRISM, LLC |
Practice Address |
6750 West Loop S Ste 950 Bellaire TX 77401-4124 |
Practice Telephone | 7134709878 |
Mailing Telephone | 8327786750 |
Enumeration Date | 2019-07-01 |
Last Update Date | 2019-07-01 |
Authorized Official Name | MR. ROBERT HILLIKER (CHIEF CLINICAL OFFICER) |
Authorized Official Telephone | 8329222058 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
Ambulatory Health Care Facilities |
Other Name | Type Code |
---|---|
The PRISM Center | Doing Business As Name - Organization |
Street Address |
6750 WEST LOOP S STE 950 |
City | BELLAIRE |
State | TX |
Zip Code | 77401-4124 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1023197175 | Abraham George Abbott | Emergency Medicine | 6750 West Loop S Ste 950, Bellaire, TX 77401-4124 | 2006-11-02 |
1588270292 | Joshua Allbright | Counselor | 6750 West Loop S Ste 950, Bellaire, TX 77401-4124 | 2020-09-17 |
1528672151 | Michael Fronk | Counselor | 6750 West Loop S Ste 950, Bellaire, TX 77401-4124 | 2020-09-01 |
1962015073 | Nhu-mai Nguyen | Counselor | 6750 West Loop S Ste 950, Bellaire, TX 77401-4124 | 2020-08-28 |
1447868203 | Ethos Prism LLC | Counselor | 6750 West Loop S Ste 950, Bellaire, TX 77401-4124 | 2020-07-17 |
1134747736 | The Prism Center | Counselor | 6750 West Loop S Ste 950, Bellaire, TX 77401-4124 | 2020-07-09 |
1598380172 | Tatiana Martinez | Counselor | 6750 West Loop S Ste 950, Bellaire, TX 77401-4124 | 2020-06-10 |
1598231987 | D'shawn Yeager Mccane | Counselor | 6750 West Loop S Ste 950, Bellaire, TX 77401-4124 | 2018-10-23 |
1407345168 | Eron Grant | Counselor | 6750 West Loop S Ste 950, Bellaire, TX 77401-4124 | 2018-05-08 |
1851892558 | Jamie Claire Patin | Counselor | 6750 West Loop S Ste 950, Bellaire, TX 77401-4124 | 2018-02-27 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1780242123 | Hands of Houston Pllc | Surgery | 6704 Ferris, Bellaire, Texas, TX 77401 | 2019-05-31 |
1316423767 | Nancy Abraham | Pharmacist | 5160 Bissonnet St, Bellaire, TX 77401 | 2018-07-18 |
1356856033 | H-e-b, Lp | Clinical Medical Laboratory | 5106 Bissonnet St, Bellaire, TX 77401 | 2017-12-04 |
1457884371 | Damian Duplechain | Counselor | 5959 West Loop 610 South, Suite 600, Bellaire, TX 77401 | 2017-04-07 |
1659804672 | Stephanie Nelson | Behavioral Analyst | 6607 S Rice Ave, Bellaire, TX 77401 | 2017-04-06 |
1750839478 | U S Anesthesia Partners of Texas, Pa | Physician Assistant | 4710 Bellaire Blvd Ste 390, Bellaire, TX 77401 | 2016-09-12 |
1003287657 | Juna Medical LLC | Durable Medical Equipment & Medical Supplies | 5420 Bellaire Blvd, Suite C, Bellaire, TX 77401 | 2015-10-08 |
1366820201 | Jennifer Lorene Christian | Counselor | 5959 West Loop South, Suite 515, Bellaire, TX 77401 | 2015-05-12 |
1326430778 | Margaret Mcalpin Crady | Social Worker | 6750 West Loop South, # 860, Bellaire, TX 77401 | 2015-02-23 |
1952702193 | Sally Eisen Miller | Marriage & Family Therapist | 5909 West Loop S. #590, Bellaire, TX 77401 | 2014-09-08 |
Find all providers in zip 77401 |
Taxonomy Code | 261QM0850X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Adult Mental Health |
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. |
Notes: [7/1/2003: new] |
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1376168682 | Edge of Town Productions, LLC | Clinic/Center | 746 Dayridge Dr, Dripping Springs, TX 78620-2128 | 2020-06-11 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.