Organization
RADIANCE MENTAL WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESSICA MARIE KING LMFT (OWNER/DIRECTOR)
(910) 987-9448
Entity
Organization
Contact information
Practice address
6805 CORPORATE DR STE 120, COLORADO SPRINGS, CO 80919-1977
(910) 987-9448
Mailing address
7076 HILLOCK DR, COLORADO SPRINGS, CO 80922-4302
(910) 987-9448
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
03/26/2024
Last updated
04/09/2025
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