Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Radiance Health & Wellness Clinic Mo-Ks

Organization Psychiatric/Mental Health Nurse Practitioner · NPI 1407633902

Radiance Health & Wellness Clinic Mo-Ks is a Psychiatric/Mental Health Nurse Practitioner in Raytown, Missouri. Registered with an NPI since 2023.

In the registry since
2023

Practice location Address checks out

6225 Raytown Trfy
Raytown, MO 64133-3846
Phone: (816) 510-4549
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X

Record details

NPI number1407633902
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Amie Fabah — Dr Ezeogu · (816) 510-4549
Other names Radiance Health & Wellness; Radiance Health & Wellness
NPI enumeratedSeptember 11, 2023
Last updated in NPPESJuly 29, 2025
Certification dateJuly 29, 2025
Mailing address12641 Antioch Rd # 1053, Overland Park, KS 66213-1701

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