Organization
RADIANCE MENTAL HEALTH PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER WOIWODE (OWNER)
(701) 240-6002
Entity
Organization
Contact information
Practice address
24 MAIN ST N STE A, MINOT, ND 58703-3104
(701) 509-8449
Mailing address
24 MAIN ST N STE A, MINOT, ND 58703-3104
(701) 509-8449
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
09/05/2024
Last updated
04/22/2026
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