Radical Wellness LLC

NPI #1770310799 in Hibbing, Minnesota

Provider Information

NPI Number: 1770310799
Entity Type: Organization
Organization Name: Radical Wellness LLC
Primary Specialty: Clinic/Center - Mental Health (Including Community Mental Health Center)
Enumeration Date: Sep 14, 2024
Last Updated: Sep 14, 2024

Practice Location

Address: 2524 1ST AVE
City: Hibbing
State: Minnesota
ZIP Code: 55746-2243
Phone: (218) 996-2144

Authorized Official

Name: ELIZABETH MOUSSEAU MALDONADO, LCSW
Title: OWNER
Phone: (218) 996-2144

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X
Clinic/Center - Mental Health (Including Community Mental Health Center) — Mental Health (Including Community Mental Health Center)	261QM0801X	Primary

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