Healthcare Provider Details

I. General information

NPI: 1780362186
Provider Name (Legal Business Name): RADIANT YOU COUNSELING AND CONSULTING SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/06/2023
Last Update Date: 07/06/2023
Certification Date: 07/06/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2071 E WEST MAPLE RD STE E-504
COMMERCE TWP MI
48390-3815
US

IV. Provider business mailing address

2071 E WEST MAPLE RD STE E-504
COMMERCE TWP MI
48390-3815
US

V. Phone/Fax

Practice location:
  • Phone: 248-660-0428
  • Fax:
Mailing address:
  • Phone: 248-660-0428
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code261QM0855X
TaxonomyAdolescent and Children Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: SARETHA BEELER
Title or Position: CLINICAL DIRECTOR / OWNER
Credential: LPC, NCC, ACS
Phone: 248-660-0428