# RADIANT MINDS INSTITUTE CORP

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

## Provider details

- **NPI number:** 1811774946
- **Authorized official:** EVISHA FORD (OWNER)
- **Authorized official phone:** (708) 798-4200

## Contact information

- **Practice address:** 18501 MAPLE CREEK DR STE 900, TINLEY PARK, IL 60477-6781
- **Practice address phone:** (708) 307-0440
- **Mailing address:** 18501 MAPLE CREEK DR STE 900, TINLEY PARK, IL 60477-6781

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 103K00000X | Behavior Analyst | — | NULL | — |
| 103K00000X | Behavior Analyst | — | — | — |
| 1041C0700X | Clinical Social Worker | — | NULL | — |
| 1041C0700X | Clinical Social Worker | — | — | — |
| 225X00000X | Occupational Therapist | — | NULL | — |
| 225X00000X | Occupational Therapist | — | — | — |
| 261QM1300X | Multi-Specialty Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 09/12/2023
- **Last updated:** 02/25/2025