Healthcare Provider Details

I. General information

NPI: 1366363483
Provider Name (Legal Business Name): RADIANT PATH COUNSELING, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/23/2026
Last Update Date: 07/23/2026
Certification Date: 07/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3900 LAKELAND DRIVE BUILDING C,SUITE 510
FLOWOOD MS
39232
US

IV. Provider business mailing address

223 FANNIN LANDING CIR
BRANDON MS
39047-9590
US

V. Phone/Fax

Practice location:
  • Phone: 769-225-4743
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State

VIII. Authorized Official

Name: HANNAH NUGENT
Title or Position: CO-OWNER
Credential: LPC
Phone: 318-447-7348