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Organization
RADIANCE WELLNESS GROUP LLC
Active
Organization
RADIANCE WELLNESS GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMIE LYNN PLOCINSKI LCSW (OWNER)
(570) 601-4325
Entity
Organization
Contact information
Practice address
953 MARKET ST, WILLIAMSPORT, PA 17701-3448
(570) 601-4325
(570) 866-3141
Mailing address
1341 E 3RD ST, WILLIAMSPORT, PA 17701-5409
(570) 601-4325
(570) 866-3141
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1034210900002
—
PA
05
—
1034210900007
—
PA
05
—
1037997140001
—
PA
05
—
1038257700001
—
PA
05
—
1038257700002
—
PA
05
—
1039455450002
—
PA
05
—
1039567180002
—
PA
Enumeration date
07/06/2021
Last updated
11/21/2022
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