| Radiant Recovery & Counseling Services | |
|
400 S 4th St Ste 401 Minneapolis MN 55415-1419 | |
| (612) 429-1662 | |
| (612) 234-4788 |
| Full Name | Radiant Recovery & Counseling Services |
|---|---|
| Speciality | Clinic/Center |
| Location | 400 S 4th St Ste 401, Minneapolis, Minnesota |
| Authorized Official Name and Position | Alex Lomosi (OWNER/DRECTOR) |
| Authorized Official Contact | 5618893924 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Radiant Recovery & Counseling Services 400 S 4th St Ste 401 Minneapolis MN 55415-1419 Ph: (612) 429-1662 | Radiant Recovery & Counseling Services 400 S 4th St Ste 401 Minneapolis MN 55415-1419 Ph: (612) 429-1662 |
| NPI Number | 1699470450 |
|---|---|
| Provider Enumeration Date | 04/03/2023 |
| Last Update Date | 07/16/2024 |
| Certification Date | 07/16/2024 |
| Medicare PECOS PAC ID | 2860932803 |
|---|---|
| Medicare Enrollment ID | O20240905001920 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699470450 | NPI | - | NPPES |
| Provider Name | Nandini Jones |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1992567655 PECOS PAC ID: 8628416781 Enrollment ID: I20240409001618 |
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