Provider Demographics
NPI:1932908118
Name:RADICAL HOPE LLC
Entity type:Organization
Organization Name:RADICAL HOPE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL SOCIAL WORKER
Authorized Official - Prefix:
Authorized Official - First Name:RANDI
Authorized Official - Middle Name:K
Authorized Official - Last Name:SCHNEIDER
Authorized Official - Suffix:
Authorized Official - Credentials:CSW-PIP, QMHP, ACT
Authorized Official - Phone:605-431-9622
Mailing Address - Street 1:4107 HALL ST
Mailing Address - Street 2:
Mailing Address - City:RAPID CITY
Mailing Address - State:SD
Mailing Address - Zip Code:57702-2222
Mailing Address - Country:US
Mailing Address - Phone:605-431-9622
Mailing Address - Fax:
Practice Address - Street 1:4107 HALL ST
Practice Address - Street 2:
Practice Address - City:RAPID CITY
Practice Address - State:SD
Practice Address - Zip Code:57702-2222
Practice Address - Country:US
Practice Address - Phone:605-431-9622
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-03-11
Last Update Date:2025-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty