OrganizationActive
Radiant Retreat LLC
NPI 1558212464 · Community/Behavioral Health Agency · Concord, NC
Radiant Retreat LLC is a Community/Behavioral Health Agency organization in Concord, NC (NPI 1558212464).
Provider details
- NPI number
- 1558212464
- Entity type
- Organization
- Primary specialty
- Community/Behavioral Health AgencyAgencies
- Organization subpart
- No
- Authorized official
- Vivian Clark, Owner(704) 208-1887
Specialties & taxonomies
Agencies
Profile Score
Established profile(53/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
7466 Boulaide St Sw
Concord, NC 28025-6219
Phone: (704) 208-1887
Street-level locationGet directions
Mailing address
7466 Boulaide St Sw
Concord, NC 28025-6219
Registry dates
- Enumerated
- 2026-02-06
- Last updated
- 2026-06-06
- Certified
- 2026-06-06
Frequently asked questions
- What is Radiant Retreat LLC's NPI number?
- Radiant Retreat LLC's National Provider Identifier (NPI) is 1558212464, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Radiant Retreat LLC?
- Radiant Retreat LLC is classified in the NPPES registry as Community/Behavioral Health Agency (Agencies).
- Where is Radiant Retreat LLC located?
- Radiant Retreat LLC's practice location on file with NPPES is 7466 Boulaide St Sw, Concord, NC 28025-6219.
- What is Radiant Retreat LLC's phone number?
- The practice phone number listed in the NPPES registry for Radiant Retreat LLC is (704) 208-1887.
- Who is the authorized official for Radiant Retreat LLC?
- The authorized official listed on Radiant Retreat LLC's NPPES record is Vivian Clark, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Radiant Retreat LLC's NPI active?
- Yes — Radiant Retreat LLC's NPI (1558212464) is active in the NPPES registry as of the last update on 2026-06-06.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.