Psychiatry

Diagnosis, Treatment, Mental Health Medication Management

Counseling

Personalized Therapy for Emotional and Behavioral Well-being

Primary & Family Care

Comprehensive Medical Care for Individuals and Families

Medical Weight Loss & Wellness

Evidence-Based Treatments for Sustainable Weight Loss & Wellness

Medical Cannabis
Certification

Licensed Evaluations for State-Approved Cannabis Eligibility

About

PRISM Wellness Solutions was established in 2022 to redefine what comprehensive, compassionate care looks like.

We are dedicated to bridging gaps in healthcare by offering holistic support for your mental, emotional, and physical well-being.

You health is deeply personal, which is why we strive to create a welcoming space where you are truly seen, heard, and supported.

We are here to empower your mental health hourney, guide you through physical wellness, and provide specialized care.

Our practice combines cutting-edge medical and therapeutic care, emphasizing trauma-informed treatments and personalized wellness plans.

As an inclusive, LGBTQ+ affirming practice, we celebrate every individual’s identity and are committed to walking alongside you every step of the way.

Team

Hoyt Noble, MSN, PMHNP-BC

Hoyt Noble, MSN, PMHNP-BC

CHIEF EXECUTIVE OFFICER

Hoyt is a Psychiatric Mental Health Nurse Practitioner who is dedicated to helping individuals transform their lives through compassionate, personalized care, and guided by a passionate understanding of the lasting effects of trauma on daily life.

He holds a Master of Science in Nursing from Northern Kentucky University and is board certified by the American Nurses Credentialing Center. He founded PRISM to address the critical need for inclusive, holistic mental health care, and his vision and dedication continue to shape it into a space where people from all walks of life can find the support and empowerment they deserve.

Misty Holland

Misty Holland

CHIEF OPERATING OFFICER

Misty has over 20 years of business experience across multiple industries, including operations, human resources, sales, staffing, and training.  She is passionate about mental health and her priority in this role is for each client to have an excellent experience at PRISM.

She approaches her role with compassion, diligence, and detail, striving to be a welcoming initial point of contact who can guide each patient to the correct provider and assist with every stop of the process from scheduling to follow-up care.

Mitzi Tewell

Mitzi Tewell

CHIEF BILLING OFFICER

Mitzi brings over 20 years of expertise in office management, medical billing, coding, insurance claims, and customer experience. With a deep understanding of healthcare operations, she ensures seamless administrative workflows and accurate claims processing.

Her dedication to patient-centered service and her extensive knowledge in navigating complex insurance processes makes her an invaluable part of being able to provide excellent service to our patients and our providers.

Mandy Guerra, CPC

Mandy Guerra, CPC

CODING & DOCUMENTATION COMPLIANCE OFFICER

Mandy is brings a sharp eye for detail and a passion for serving patients in medical coding and healthcare administration. She is an integral part of the team and allows us to provide the best healthcare by ensuring that providers maximize their accuracy and efficiency.

She is dedicated to continuous learning and leads the charge in staying current with industry best practices from billing to documentation.

Stefanie Shepherd, MSN, PMHNP-BC

Stefanie Shepherd, MSN, PMHNP-BC

PSYCHIATRIC MENTAL HEALTH NURSE PRACTITIONER

Stefanie is a board-certified Psychiatric Mental Health Nurse Practitioner who provides compassionate, evidence-based care to people of all ages and as young as 5 years old. Stefanie earned her PMHNP-BC certification from Northern Kentucky University.

She is dedicated to creating individualized treatment plans that integrate therapeutic modalities, medication management, and holistic strategies. Her patient-centered approach ensures that every person feels supported and empowered in their mental health journey.

Rosemary Minnick, DNP, FNP-BC

Rosemary Minnick, DNP, FNP-BC

FAMILY NURSE PRACTITIONER

Rosemary is a board-certified Family Nurse Practitioner with over 20 years of experience. She earned her Doctor of Nursing Practice degree from Frontier Nursing University and completed her Post-Master’s Program in Family Practice Nursing at the University of Colorado.

She specializes in chronic disease management, preventative care, and medical cannabis screenings and treatment. She is dedicated to empowering patients through education and collaborative care, ensuring they are active participants in their wellness journey, and her expertise in medical cannabis adds another layer of innovative care, supporting patients seeking alternative treatments.

Alisha Clemons, MSN, FNP-BC

Alisha Clemons, MSN, FNP-BC

FAMILY NURSE PRACTITIONER

Alisha is an experienced nurse practitioner specializing in internal medicine and infectious diseases. She is an expert in HIV prevention, hepatitis treatment, and complex infectious conditions. She is also an experienced preceptor who enjoys teaching and actively seeks out educational programs and conferences.

She is pursuing her Doctorate of Nursing Practice at Northern Kentucky University with an expected completion at the end of this year and currently is a member of the AANP, the KCNPNM, and IDSA. She has served on several advisory boards and speaker bureaus.

Monica Webb, MSN, CSW

Monica Webb, MSN, CSW

CLINICAL SOCIAL WORKER

Monica has nearly two decades of experience working as a medical social worker with individuals of all ages.  She has extensive experience working with people who have chronic illness, trauma, those living with HIV/AIDS, and African immigrants and refugees.

She holds a Master’s degree in Social Work with a specialization in Mental Health and is certified with the Kentucky Board of Social Work. She is dedicated to providing culturally competent and affirming services, using a strength-based approach rooted in compassion and empowerment.

McKenzie Cordell, PhD

McKenzie Cordell, PhD

PSYCHOLOGIST

McKenzie has a focus in health psychology. Her areas of expertise include chronic pain and illness, weight management, HIV/AIDS, depression, and anxiety. She is passionate about helping people manage the complex relationship between mental and physical health.

She is a licensed psychologist who received her doctorate from Texas Tech University and completed a fellowship at the Medical University of South Carolina. After nearly a decade away from Kentucky, she has returned home to serve her community.

Todd Ryser-Oatman, PhD

Todd Ryser-Oatman, PhD

PSYCHOLOGIST

Todd specializes in affirming and culturally sensitive therapy that helps clients work through depression, anxiety, burnout, eating concerns, obsessive-compulsive tendencies, grief, trauma, and relationship difficulties.

With flexible therapy hours, in-person or through telehealth sessions, he wants every person to feel understood and cared for, and to walk alongside them as they work towards building a fulfilling and exciting life!

Erin Norton Miller, MCHWC

Erin Norton Miller, MCHWC

MASTER CERTIFIED HEALTH & WELLNESS COACH
ACE CERTIFIED PERSONAL TRAINER

Erin is a masters-trained and certified life coach who serves families, pregnant and nursing moms (including those preparing to be), adults, and seniors. Her coaching plans are rooted in science and tailored to each person in a personal and easy-to-understand format.

She is passionate about helping each person to find their unique path.  She offers individual sessions and group classes, in person or online.  She knows that a true coach understands that we are all at different points in our journey and that the integrity of the coaching/client relationship is integral to trust and long term success.

Insurance Accepted

We accept a range of insurance providers and are glad to partner with you to determine eligibility.

© 2025 PRISM Wellness Solutions • Lexington, KY