Radiant Path Therapy LLC
NPI #1144046475 in Grand Terrace, California
Provider Information
- NPI Number
- 1144046475
- Entity Type
- Organization
- Organization Name
- Radiant Path Therapy LLC
- Primary Specialty
- Clinic/Center - Adult Mental Health
- Enumeration Date
- Dec 3, 2024
- Last Updated
- Jan 2, 2026
Practice Location
- Address
- 12139 MOUNT VERNON AVE STE 210
- City
- Grand Terrace
- State
- California
- ZIP Code
- 92313-5562
- Phone
- (951) 205-2949
Authorized Official
- Name
- LANDON EHTESHAMZADEH
- Title
- CO-OWNER
- Phone
- (951) 205-2949
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Mental Health — Mental Health |
| Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder) |
| Community/Behavioral Health |
| Substance Abuse Rehabilitation Facility |
| Counselor - Professional — Professional |
| Clinic/Center - Adult Mental Health — Adult Mental Health |
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