Provider Demographics
NPI:1629157342
Name:MCGRATH, RADFORD H (MS LMFT, LMHC)
Entity type:Individual
Prefix:MRS
First Name:RADFORD
Middle Name:H
Last Name:MCGRATH
Suffix:
Gender:F
Credentials:MS LMFT, LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8824 SAINT ANDREWS DR
Mailing Address - Street 2:
Mailing Address - City:MIRAMAR BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32550-4838
Mailing Address - Country:US
Mailing Address - Phone:850-424-3928
Mailing Address - Fax:850-837-0104
Practice Address - Street 1:3997 COMMONS DR W STE C
Practice Address - Street 2:
Practice Address - City:DESTIN
Practice Address - State:FL
Practice Address - Zip Code:32541-8444
Practice Address - Country:US
Practice Address - Phone:850-217-5874
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-03
Last Update Date:2024-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMT2294106H00000X
FLMH6601101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLMH6601OtherMENTAL HEALTH COUNSELOR
FLMT2294OtherLMFT