# RADIANT WELLNESS & RECOVERY, A PROFESSIONAL NURSING CORPORATION

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

## Provider details

- **NPI number:** 1689543027
- **Authorized official:** HERMAN NDUNGU PMHNP-BC (OWNER / INCORPORATOR)
- **Authorized official phone:** (916) 230-9768

## Contact information

- **Practice address:** 4500 47TH AVE STE 5A, SACRAMENTO, CA 95824-3847
- **Practice address phone:** (916) 230-9768
- **Mailing address:** 2108 N ST STE N, SACRAMENTO, CA 95816-5712
- **Mailing address phone:** (916) 230-9768

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM0801X | Mental Health Clinic/Center (Including Community Mental Health Center) | — | NULL | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 11/03/2025
- **Last updated:** 11/03/2025