Organization
RADIANT RECOVERY & COUNSELING SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALEX LOMOSI (OWNER/DRECTOR)
(561) 889-3924
Entity
Organization
Contact information
Practice address
400 S 4TH ST STE 401, MINNEAPOLIS, MN 55415-1419
(612) 429-1662
(612) 234-4788
Mailing address
400 S 4TH ST STE 401, MINNEAPOLIS, MN 55415-1419
(612) 429-1662
(612) 234-4788
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
251B00000X
Case Management Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
04/03/2023
Last updated
07/16/2024
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