RADIANCE WELLNESS GROUP LLC NPI 1598336133

NPI Information

  • NPI: 1598336133
  • Provider Name: RADIANCE WELLNESS GROUP LLC
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Organization
  • Address: 953 MARKET ST
    WILLIAMSPORT, PA
    ZIP 17701
  • Phone: (570) 601-4325

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NPI Details

RADIANCE WELLNESS GROUP LLC is a mental health counselor in Williamsport, PA. RADIANCE WELLNESS GROUP LLC NPI is 1598336133. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

953 MARKET ST
WILLIAMSPORT, PA
ZIP 17701-448
Phone: (570) 601-4325
Fax: (570) 866-3141

The provider's authorized official is Jamie Lynn Plocinski .
The authorized official title is Owner and has the following contact phone number (570) 601-4325.

The enumeration date for this NPI number is 7/6/2021 and was last updated on 11/21/2022.

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
1101YM0800XCounselorMental HealthYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11034210900007MEDICAIDPENNSYLVANIA
21038257700001MEDICAIDPENNSYLVANIA
31037997140001MEDICAIDPENNSYLVANIA
41039567180002MEDICAIDPENNSYLVANIA
51034210900002MEDICAIDPENNSYLVANIA
61038257700002MEDICAIDPENNSYLVANIA
71039455450002MEDICAIDPENNSYLVANIA

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: 11/21/2025

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