Radiant Path Therapy LLC
Radiant Path Therapy LLC is an Addiction (Substance Use Disorder) Counselor in Grand Terrace, California. Registered with an NPI since 2024.
- In the registry since
- 2024
- Specialties on file
- 6
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
12139 Mount Vernon Ave Ste 210Grand Terrace, CA 92313-5562
Phone: (951) 205-2949
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Adult Mental Health Clinic/Center (primary) | Taxonomy 261QM0850X |
|---|---|
| Addiction (Substance Use Disorder) Counselor | Taxonomy 101YA0400X |
| Mental Health Counselor | Taxonomy 101YM0800X |
| Professional Counselor | Taxonomy 101YP2500X |
| Community/Behavioral Health Agency | Taxonomy 251S00000X |
| Substance Abuse Rehabilitation Facility | Taxonomy 324500000X |
Record details
| NPI number | 1144046475 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Landon Ehteshamzadeh — Co-Owner · (951) 205-2949 |
| NPI enumerated | December 3, 2024 |
| Last updated in NPPES | January 2, 2026 |
| Certification date | January 2, 2026 |
| Mailing address | 12139 Mount Vernon Ave Ste 210, Grand Terrace, CA 92313-5562 |
Other providers in Grand Terrace
-
Victor Godfrey Ramirez
11980 Mount Vernon Ave, Grand Terrace, CA 92313-5172 · (909) 864-1097