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NPI Code Detail

MEDICARE: RADIANT SOULS PSYCHIATRY PLLC

MEDICARE: RADIANT SOULS PSYCHIATRY 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
1363LP0808XPsychiatric/Mental Health Nurse Practitioner

General Provider Information

NPI Number : 1376492595
Entity Type Code : Organization
Provider Name (Legal Business Name) : RADIANT SOULS PSYCHIATRY PLLC
Provider Business Mailing Address
First Line : 6801 MCCART AVE STE 109
Second Line :
City : FORT WORTH
State : TX
Zip : 76133-6378
Country : US
Telephone Number : 945-342-4310
Fax Number :
Provider Business Practice Location Address
First Line : 6801 MCCART AVE STE 109
Second Line :
City : FORT WORTH
State : TX
Zip : 76133-6378
Country : US
Telephone Number : 945-342-4310
Fax Number :
Authorized Official
Title or Position : CEO
Name : SABINA ONWONGA
Credential : PMHNP-BC
Telephone Number : 945-342-4310
Provider Enumeration Date : 01/22/2026
Last Update Date : 01/22/2026

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Directions to “RADIANT SOULS PSYCHIATRY PLLC ” Practice Location

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