A RADIANT MIND PROFESSIONAL COUNSELING SERVICES PLLC NPI 1447983010

NPI Information

  • NPI: 1447983010
  • Provider Name: A RADIANT MIND PROFESSIONAL COUNSELING SERVICES, PLLC
  • Classification: Social Worker - 1041C0700X
  • Specialization: Clinical
  • Entity Type: Organization
  • Address: 1850 WHITES RD STE 5
    KALAMAZOO, MI
    ZIP 49008
  • Phone: (269) 808-0618

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NPI Details

A RADIANT MIND PROFESSIONAL COUNSELING SERVICES, PLLC is a clinical social worker in Kalamazoo, MI. The provider is a social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. A RADIANT MIND PROFESSIONAL COUNSELING SERVICES, PLLC NPI is 1447983010. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1850 WHITES RD STE 5
KALAMAZOO, MI
ZIP 49008-801
Phone: (269) 808-0618
Fax: (269) 567-4113

The provider's authorized official is Samantha Middleton .
The authorized official title is Credentialing and has the following contact phone number (989) 321-8918.

The enumeration date for this NPI number is 7/1/2022 and was last updated on 7/7/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101Y00000XCounselorNo
21041C0700XSocial WorkerClinicalYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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