Provider Demographics
NPI:1326798406
Name:RADIANT PATH MENTAL HEALTH, LLC
Entity Type:Organization
Organization Name:RADIANT PATH MENTAL HEALTH, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LCSW
Authorized Official - Prefix:
Authorized Official - First Name:LAUREN
Authorized Official - Middle Name:
Authorized Official - Last Name:BARILE
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:302-584-6960
Mailing Address - Street 1:609 W 3RD ST
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:DE
Mailing Address - Zip Code:19801-2321
Mailing Address - Country:US
Mailing Address - Phone:302-584-6960
Mailing Address - Fax:
Practice Address - Street 1:122 DELAWARE ST
Practice Address - Street 2:
Practice Address - City:HISTORIC NEW CASTLE
Practice Address - State:DE
Practice Address - Zip Code:19720-4814
Practice Address - Country:US
Practice Address - Phone:302-584-6960
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-03-24
Last Update Date:2022-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty