Healthcare Provider Details

I. General information

NPI: 1801663554
Provider Name (Legal Business Name): RADIANT TRANSFORMATIONS COUNSELING SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/04/2023
Last Update Date: 12/29/2025
Certification Date: 12/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1405 CHEWS LANDING RD STE 23
CLEMENTON NJ
08021-2769
US

IV. Provider business mailing address

PO BOX 34
GRENLOCH NJ
08032-0034
US

V. Phone/Fax

Practice location:
  • Phone: 856-441-2229
  • Fax:
Mailing address:
  • Phone: 856-441-2229
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: MELISSA CHARFADI
Title or Position: OWNER/CEO
Credential: LPC,NCC, ACS
Phone: 856-441-2229