| Moonlit Path Behavioral Health | |
|
234 W Florida St Ste 315 Milwaukee WI 53204-1659 | |
| (414) 348-8392 | |
| (414) 296-8934 |
| Full Name | Moonlit Path Behavioral Health |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 234 W Florida St Ste 315, Milwaukee, Wisconsin |
| Authorized Official Name and Position | Rebecca L Sobanski (OWNER) |
| Authorized Official Contact | 4143488392 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Moonlit Path Behavioral Health 2112 E Bennett Ave Milwaukee WI 53207-2916 Ph: (414) 348-8392 | Moonlit Path Behavioral Health 234 W Florida St Ste 315 Milwaukee WI 53204-1659 Ph: (414) 348-8392 |
| NPI Number | 1124622709 |
|---|---|
| Provider Enumeration Date | 11/24/2020 |
| Last Update Date | 04/23/2026 |
| Certification Date | 04/23/2026 |
| 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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