Provider Demographics
NPI:1386766467
Name:RADIANT STAR COUNSELING SERVICES LLC
Entity type:Organization
Organization Name:RADIANT STAR COUNSELING SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOLE MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:JANICE
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:HELMBRECHT
Authorized Official - Suffix:
Authorized Official - Credentials:LICDC, LPCC
Authorized Official - Phone:740-454-8034
Mailing Address - Street 1:650 MAR SUE DR
Mailing Address - Street 2:
Mailing Address - City:ZANESVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:43701-9731
Mailing Address - Country:US
Mailing Address - Phone:740-454-8034
Mailing Address - Fax:
Practice Address - Street 1:1846 DRESDEN RD
Practice Address - Street 2:SUITE A
Practice Address - City:ZANESVILLE
Practice Address - State:OH
Practice Address - Zip Code:43701-2349
Practice Address - Country:US
Practice Address - Phone:740-455-3866
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-06
Last Update Date:2020-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHE0002712101YM0800X
OH981381101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty