| Moonlit Path Behavioral Health | |
|
2250 E Morgan Ave Milwaukee WI 53207-3753 | |
| (414) 348-8392 | |
| (414) 296-8934 |
| Full Name | Moonlit Path Behavioral Health |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 2250 E Morgan Ave, Milwaukee, Wisconsin |
| Authorized Official Name and Position | Rebecca Sobanski (OWNER) |
| Authorized Official Contact | 4145871397 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Moonlit Path Behavioral Health 2250 E Morgan Ave Milwaukee WI 53207-3753 Ph: (414) 348-8392 | Moonlit Path Behavioral Health 2250 E Morgan Ave Milwaukee WI 53207-3753 Ph: (414) 348-8392 |
| NPI Number | 1124622709 |
|---|---|
| Provider Enumeration Date | 11/24/2020 |
| Last Update Date | 01/26/2026 |
| Certification Date | 01/26/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124622709 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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