| Radiant Minds Therapy & Wellness, Llc | |
|
7901 4th St N Ste 312 Saint Petersburg FL 33702-4313 | |
| (561) 201-7629 | |
| Not Available |
| Full Name | Radiant Minds Therapy & Wellness, Llc |
|---|---|
| Speciality | Clinic/center - Adolescent And Children Mental Health |
| Location | 7901 4th St N Ste 312, Saint Petersburg, Florida |
| Authorized Official Name and Position | Jessica Gilbert (OWNER) |
| Authorized Official Contact | 5612017629 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Radiant Minds Therapy & Wellness, Llc 7901 4th St N Ste 312 Saint Petersburg FL 33702-4313 Ph: (561) 201-7629 | Radiant Minds Therapy & Wellness, Llc 7901 4th St N Ste 312 Saint Petersburg FL 33702-4313 Ph: (561) 201-7629 |
| NPI Number | 1548029119 |
|---|---|
| Provider Enumeration Date | 03/18/2024 |
| Last Update Date | 03/18/2024 |
| Certification Date | 03/16/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548029119 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Secondary |
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Primary |
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