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Contact Information

REDISCOVER YOUR RADIANCE, PLLC
323 N COLLEGE ST
BATAVIA, IL60510-2113
 Phone: 630-926-5987
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

1041C0700X 80 Licensed Clinical Social Worker
 

Adolescent and Children Mental Health

261QM0855X
 

Adult Mental Health

261QM0850X
 

Health & Wellness Coach

171400000X
 

Mental Health

101YM0800X
Indicates primary specialty

NPI Profile & details for REDISCOVER YOUR RADIANCE, PLLC

NPI Number 1467276758
LBN Legal business name REDISCOVER YOUR RADIANCE, PLLC
Authorized official SHANNON PRAHL - (OWNER/AGENT)
Entity Organization
Organization subpart 1 No
Enumeration date 11/13/2024
Last updated 11/13/2024 - More than a year ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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