MEDICARE: RADIANT COUNSELING PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker

General Provider Information

NPI Number	:	1215896931
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RADIANT COUNSELING PLLC

Provider Business Mailing Address
First Line	:	517 CLEVELAND ST
Second Line	:
City	:	MISSOULA
State	:	MT
Zip	:	59801-3742
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	800 KENSINGTON AVE STE 201
Second Line	:
City	:	MISSOULA
State	:	MT
Zip	:	59801-5670
Country	:	US
Telephone Number	:	970-281-7985
Fax Number	:

Authorized Official
Title or Position	:	MENTAL HEALTH THERAPIST
Name	:	ELIZABETH STRANGE-BOSTON
Credential	:	LCSW
Telephone Number	:	970-281-7985

Provider Enumeration Date	:	01/19/2026
Last Update Date	:	01/19/2026

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