Provider Demographics
NPI:1568260479
Name:RADLEY HEALTH INC
Entity type:Organization
Organization Name:RADLEY HEALTH INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER, AUTHORIZED OFFICIAL
Authorized Official - Prefix:
Authorized Official - First Name:ANSON
Authorized Official - Middle Name:
Authorized Official - Last Name:FRERICKS
Authorized Official - Suffix:
Authorized Official - Credentials:CFPS
Authorized Official - Phone:513-600-0694
Mailing Address - Street 1:2 NOEL LN
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45243-3722
Mailing Address - Country:US
Mailing Address - Phone:513-600-0694
Mailing Address - Fax:
Practice Address - Street 1:2 NOEL LN
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45243-3722
Practice Address - Country:US
Practice Address - Phone:513-600-0694
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-03-05
Last Update Date:2025-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)