Healthcare Provider Details

I. General information

NPI: 1578428926
Provider Name (Legal Business Name): RADIATING JOY THERAPY SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/18/2025
Last Update Date: 12/18/2025
Certification Date: 12/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

210 S 1ST ST
KNOXVILLE IA
50138-2301
US

IV. Provider business mailing address

210 S 1ST ST
KNOXVILLE IA
50138-2301
US

V. Phone/Fax

Practice location:
  • Phone: 719-306-4012
  • Fax:
Mailing address:
  • Phone:
  • 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: JACQUELINE BALLOU
Title or Position: THERAPIST
Credential: LISW
Phone: 719-306-4012