Organization · Type 2 NPI
Radiant Souls Psychiatry PLLC
Psychiatric/Mental Health Nurse Practitioner · Fort Worth, TX
NPI number
1376492595
Active
Practice location
6801 Mccart Ave Ste 109
Fort Worth, TX 76133-6378
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | None listed |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1376492595
Radiant Souls Psychiatry PLLC's National Provider Identifier is 1376492595, issued on Jan 22, 2026. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Fort Worth, TX. The record was last updated on Jan 22, 2026.