| Radiant Health Resources | |
|
18090 Mack Ave Grosse Pointe MI 48230-6251 | |
| (586) 202-0474 | |
| Not Available |
| Full Name | Radiant Health Resources |
|---|---|
| Speciality | Counselor |
| Location | 18090 Mack Ave, Grosse Pointe, Michigan |
| Authorized Official Name and Position | Daphne Demaris (OWNER) |
| Authorized Official Contact | 5862020474 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Radiant Health Resources 18090 Mack Ave Grosse Pointe MI 48230-6251 Ph: (586) 202-0474 | Radiant Health Resources 18090 Mack Ave Grosse Pointe MI 48230-6251 Ph: (586) 202-0474 |
| NPI Number | 1689826307 |
|---|---|
| Provider Enumeration Date | 10/13/2008 |
| Last Update Date | 10/13/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689826307 | NPI | - | NPPES |
| 7538616 | Other | MI | AETNA |
| 2896979 | Other | MI | UNITED HEALTH CARE |
| 3491770 | Other | MI | MAGELLAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | 6401007055 (Michigan) | Primary |
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