# RADIANT WELLNESS MENTAL HEALTH CENTER

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1275423683
- **Authorized official:** LATRONDA SHELBY MSN (APRN)
- **Authorized official phone:** (786) 286-8068

## Contact information

- **Practice address:** 13770 SW 272ND ST APT 312, HOMESTEAD, FL 33032-8095
- **Practice address phone:** (786) 933-4859
- **Practice address fax:** (786) 783-3635
- **Mailing address:** 13770 SW 272ND ST APT 312, HOMESTEAD, FL 33032-8095
- **Mailing address phone:** (786) 286-8068

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 07/07/2025
- **Last updated:** 10/02/2025
