NPI 1033968268
Radiant Ally Therapy & Consulting Services, LLC
Practice location
- Address
- 1911 S National Ave STE 401, Springfield, MO 65804-2213
- Phone
- (417) 719-0973
- Mailing address
- 4195 E Summer Set St, Springfield, MO 65802-9776
Authorised official
- Name
- Ra Young Suh
- Title
- Therapist
- Phone
- (417) 719-0973
Registered specialties
Adult Mental Health Clinic/Center
Primary
Registry record
- NPI
- 1033968268
- Entity type
- Organization
- NPI issued
- 20 May 2024
- Record last updated
- 27 Oct 2024
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.