| Radiant Therapy, Llc | |
|
14201 Laurel Park Dr Ste 106 Laurel MD 20707-5203 | |
| (443) 741-2267 | |
| Not Available |
| Full Name | Radiant Therapy, Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 14201 Laurel Park Dr Ste 106, Laurel, Maryland |
| Authorized Official Name and Position | Janelle M Weather (CLINICAL DIRECTOR) |
| Authorized Official Contact | 4437412267 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Radiant Therapy, Llc 9666 Hastings Dr Columbia MD 21046-1915 Ph: (443) 741-2267 | Radiant Therapy, Llc 14201 Laurel Park Dr Ste 106 Laurel MD 20707-5203 Ph: (443) 741-2267 |
| NPI Number | 1821624354 |
|---|---|
| Provider Enumeration Date | 03/16/2020 |
| Last Update Date | 03/16/2020 |
| Certification Date | 03/16/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821624354 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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