Organization
RADIANT HEALTH RESOURCES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAPHNE DEMARIS MA, LPC (OWNER)
(586) 202-0474
Entity
Organization
Contact information
Practice address
18090 MACK AVE, GROSSE POINTE, MI 48230-6251
(586) 202-0474
Mailing address
18090 MACK AVE, GROSSE POINTE, MI 48230-6251
(586) 202-0474
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
6401007055
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2896979
UNITED HEALTH CARE
MI
01
—
3491770
MAGELLAN
MI
01
—
7538616
AETNA
MI
Enumeration date
10/13/2008
Last updated
10/13/2008
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