Organization Active NPI

Iridescence Wellness Studio LLC

  • Community/Behavioral Health Agency
  • Huber Heights, OH
National Provider Identifier
1366379208
Registry record updated May 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
IRIDESCENCE WELLNESS STUDIO LLC
Practice address
5118 Pocono Dr
Huber Heights, OH 45424-6017
Phone
(937) 626-4807
NPI assigned
May 5, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 5, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Helena Q. Graham, LPCC, LICDCNPI 1114564184
Title
Owner/ Senior Clinician
Phone
(937) 626-4807

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

5118 Pocono Dr
Huber Heights, OH 45424-6017

Mailing address

5118 Pocono Dr
Huber Heights, OH 45424-6017
Phone (937) 626-4807

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1777939200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1777939200000",
    "number": "1366379208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5118 POCONO DR",
            "city": "HUBER HEIGHTS",
            "state": "OH",
            "postal_code": "454246017",
            "telephone_number": "937-626-4807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5118 POCONO DR",
            "city": "HUBER HEIGHTS",
            "state": "OH",
            "postal_code": "454246017",
            "telephone_number": "937-626-4807"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IRIDESCENCE WELLNESS STUDIO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-05-05",
        "last_updated": "2026-05-05",
        "certification_date": "2026-05-05",
        "status": "A",
        "authorized_official_last_name": "GRAHAM",
        "authorized_official_first_name": "HELENA",
        "authorized_official_middle_name": "Q.",
        "authorized_official_title_or_position": "OWNER/ SENIOR CLINICIAN",
        "authorized_official_telephone_number": "937-626-4807",
        "authorized_official_credential": "LPCC, LICDC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huber Heights, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.