MEDICARE: RADIANT HORIZONS COUNSELING, P.L.L.C.

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	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1750256665
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RADIANT HORIZONS COUNSELING, P.L.L.C.

Provider Business Mailing Address
First Line	:	430 TIMBERWALK CT UNIT 1017
Second Line	:
City	:	PONTE VEDRA BEACH
State	:	FL
Zip	:	32082-6242
Country	:	US
Telephone Number	:	781-985-8353
Fax Number	:

Provider Business Practice Location Address
First Line	:	430 TIMBERWALK CT UNIT 1017
Second Line	:
City	:	PONTE VEDRA BEACH
State	:	FL
Zip	:	32082-6242
Country	:	US
Telephone Number	:	781-985-8353
Fax Number	:

Authorized Official
Title or Position	:	OWNER/CLINICAL THERAPIST
Name	:	CATHERINE HARVEY
Credential	:	LCSW
Telephone Number	:	781-985-8353

Provider Enumeration Date	:	10/09/2025
Last Update Date	:	02/03/2026

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