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Organization
REDISCOVER YOUR RADIANCE, PLLC
Active
Organization
REDISCOVER YOUR RADIANCE, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHANNON D PRAHL LCSW (OWNER/AGENT)
(630) 926-5987
Entity
Organization
Contact information
Practice address
323 N COLLEGE ST, BATAVIA, IL 60510-2113
(630) 926-5987
Mailing address
323 N COLLEGE ST, BATAVIA, IL 60510-2113
(630) 926-5987
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
171400000X
Health & Wellness Coach
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
11/13/2024
Last updated
11/13/2024
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