National Provider Identifier Database

PRISMA WELLNESS PLLC
Psychiatric/Mental Health


Contact Information

PRISMA WELLNESS, PLLC
13500 WATERTOWN PLANK RD STE 102
ELM GROVE, WI53122-2222
Phone: 206-785-1015
Fax: 206-785-1023
Website:
Specialty Taxonomy Code
* Psychiatric/Mental Health 363LP0808X
Psychiatric/Mental Health, Adult 364SP0809X
Psychiatry 2084P0800X

* Indicates primary specialty

NPI Profile & details for PRISMA WELLNESS, PLLC

NPI Number 1114675162
Legal business name
LBN
PRISMA WELLNESS, PLLC
Authorized official SCOTT WIENER - (CHIEF MEDICAL OFFICER)
Entity Organization
Organization subpart Yes
Enumeration date 03/17/2022
Last updated 03/17/2022 - About 4 years ago
Sole proprietor1 Not specified
Identifiers n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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