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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

RADIANT RETREAT LLC
NPI 1558212464
Community/Behavioral Health in Concord, NC

Active since February 06, 2026
7466 BOULAIDE ST SW, CONCORD, NC 28025(704) 208-1887 Get Directions Write a Review

NPPES record last updated: June 19, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 6, 2026, Feb 6, 2026 (2 updates tracked since 2026).

About Radiant Retreat Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RADIANT RETREAT LLC (NPI 1558212464) is a healthcare organization registered as a community/behavioral health in Concord, North Carolina and active in the NPI registry since February 2026. The organization lists Vivian Euladean Clark, Owner, as its authorized official.

NPPES Registry Identity

NPI1558212464
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameRADIANT RETREAT LLC
Location Address7466 BOULAIDE ST SWConcord, NC 28025-6219
Mailing Address7466 Boulaide St SwConcord, NC 28025-6219 · (704) 208-1887
Phone(704) 208-1887
Organization SubpartNo
Authorized OfficialVivian Euladean ClarkOwner · (704) 208-1887
Enumeration DateFebruary 6, 2026
Last NPPES UpdateJune 19, 20262 updates tracked since enumeration
NPPES CertifiedJune 19, 2026
✔ NPI 1558212464 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
7466 BOULAIDE ST SW, Concord, NC 28025
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Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RADIANT RETREAT LLC
Home Health
7466 BOULAIDE ST SW
CONCORD, NC 28025
Cabarrus County (704) 208-1887
VIVIAN CLARK
Behavior Technician
7466 BOULAIDE ST SW
CONCORD, NC 28025
Cabarrus County (585) 764-6737

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Radiant Retreat LLC's NPI number?

The NPI number for Radiant Retreat LLC is 1558212464. It was assigned to this organization in the NPPES registry on February 6, 2026.

Where is Radiant Retreat LLC located?

Radiant Retreat LLC is located at 7466 Boulaide St SW, Concord, NC 28025. The listed phone number is (704) 208-1887.

What is Radiant Retreat LLC's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

When was this NPI record last updated?

The NPPES record for Radiant Retreat LLC was last updated on June 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 52 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.