Healthcare Provider Details

I. General information

NPI: 1407780794
Provider Name (Legal Business Name): RADIANT TRUTH COUNSELING, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/11/2026
Last Update Date: 06/11/2026
Certification Date: 06/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5476 W FULTON ST
PHOENIX AZ
85043-4710
US

IV. Provider business mailing address

5026 N 189TH DR
LITCHFIELD PARK AZ
85340-5478
US

V. Phone/Fax

Practice location:
  • Phone: 602-615-3450
  • Fax:
Mailing address:
  • Phone: 602-615-3450
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: JOSHUA JOHNSON
Title or Position: CEO/ THERAPIST
Credential: LCSW
Phone: 602-615-3450