Provider Demographics
NPI:1932686680
Name:RADIANT HEART COUNSELING
Entity Type:Organization
Organization Name:RADIANT HEART COUNSELING
Other - Org Name:RANA KAYE JACKSON
Other - Org Type:Doing Business As
Authorized Official - Title/Position:LCSW
Authorized Official - Prefix:
Authorized Official - First Name:RANA
Authorized Official - Middle Name:KAYE
Authorized Official - Last Name:JACKSON
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:808-651-2458
Mailing Address - Street 1:7 SKYLYN CT
Mailing Address - Street 2:
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28806-3922
Mailing Address - Country:US
Mailing Address - Phone:808-651-2458
Mailing Address - Fax:
Practice Address - Street 1:7 SKYLYN CT
Practice Address - Street 2:
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28806-3922
Practice Address - Country:US
Practice Address - Phone:808-651-2458
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-07-25
Last Update Date:2023-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCC0094221041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty