Provider Demographics
NPI:1417832585
Name:RADIANT HORIZON HEALTH AND WELLNESS PLLC
Entity type:Organization
Organization Name:RADIANT HORIZON HEALTH AND WELLNESS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PMHNP-BC
Authorized Official - Prefix:
Authorized Official - First Name:ISABELLE
Authorized Official - Middle Name:ETHEL
Authorized Official - Last Name:OCHOLLA
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:774-297-8778
Mailing Address - Street 1:82 WENDELL AVE STE 100
Mailing Address - Street 2:
Mailing Address - City:PITTSFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01201-7066
Mailing Address - Country:US
Mailing Address - Phone:339-273-6787
Mailing Address - Fax:
Practice Address - Street 1:38 CEDAR LN
Practice Address - Street 2:
Practice Address - City:SEEKONK
Practice Address - State:MA
Practice Address - Zip Code:02771-3241
Practice Address - Country:US
Practice Address - Phone:774-297-8778
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-08-07
Last Update Date:2025-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty