National Provider Identifier
Radical Psychotherapy Lmhc PLLC
Radical Psychotherapy Lmhc PLLC is listed in the NPPES registry with a primary specialty of Mental Health Counselor in Rochester, NY and a listed phone number of (585) 405-1265.
Profile Overview
- NPI
- 1760335954
- Provider Type
- Organization
- Primary Specialty
- Mental Health Counselor
- Enumeration Date
- February 17, 2026
- Last Updated
- February 17, 2026
Practice Location
- 425 E Ridge RD
- Rochester, NY 14621-1201
Phone: (585) 405-1265
Specialties
- Mental Health Counselor (101YM0800X)
Full Record
- NPI
- 1760335954
- Entity Type
- Organization
- EIN
- <UNAVAIL>
- Organization Name
- Radical Psychotherapy Lmhc PLLC
- Mailing Street Address
- 425 E Ridge RD
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14621-1201
- Mailing Country
- US
- Practice Street Address
- 425 E Ridge RD
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14621-1201
- Practice Country
- US
- Practice Phone
- (585) 405-1265
- Enumeration Date
- February 17, 2026
- Last Updated
- February 17, 2026
- Authorized Official Last Name
- Hannah
- Authorized Official First Name
- Jarrett
- Authorized Official Middle Name
- Lamar
- Authorized Official Title
- Founder
- Authorized Official Phone
- (585) 405-1265
- Organization Subpart
- No
- Authorized Official Credential Text
- LMHC
- Taxonomy Group 1
- 193400000X Single Specialty Group
- Certification Date
- February 17, 2026
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Mental Health Counselor (101YM0800X)