Radiance Counseling Llc | |
713 Susquehanna Ave Wyoming PA 18644-1928 | |
(570) 846-0960 | |
Not Available |
Full Name | Radiance Counseling Llc |
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Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
Location | 713 Susquehanna Ave, Wyoming, Pennsylvania |
Authorized Official Name and Position | Sarah Luvender-newman (OWNER) |
Authorized Official Contact | 5708460960 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Radiance Counseling Llc Po Box 4022 Wyoming PA 18644-0022 Ph: (570) 846-0960 | Radiance Counseling Llc 713 Susquehanna Ave Wyoming PA 18644-1928 Ph: (570) 846-0960 |
NPI Number | 1336856889 |
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Provider Enumeration Date | 11/03/2022 |
Last Update Date | 11/03/2022 |
Certification Date | 11/03/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1336856889 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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