Organization · Type 2 NPI

Radiant Soul LLC

Mental Health Counselor · Pocatello, ID

NPI number 1992676274 Active

Practice location

845 W Center St Ste L200
Pocatello, ID 83204-4205

Call (208) 943-8838 Map

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1992676274

Radiant Soul LLC's National Provider Identifier is 1992676274, issued on Sep 17, 2025. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Pocatello, ID. The record was last updated on Sep 17, 2025.