Organization
RADIANT MINDS THERAPY & WELLNESS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESSICA GILBERT LCSW (OWNER)
(561) 201-7629
Entity
Organization
Contact information
Practice address
7901 4TH ST N STE 312, SAINT PETERSBURG, FL 33702-4313
(561) 201-7629
Mailing address
7901 4TH ST N STE 312, SAINT PETERSBURG, FL 33702-4313
(561) 201-7629
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
03/18/2024
Last updated
03/18/2024
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