| Path Of Life Counseling Psc | |
|
2042 Wooddale Dr Ste 250 Woodbury MN 55125-4421 | |
| (651) 212-7111 | |
| Not Available |
| Full Name | Path Of Life Counseling Psc |
|---|---|
| Speciality | Counselor |
| Location | 2042 Wooddale Dr Ste 250, Woodbury, Minnesota |
| Authorized Official Name and Position | Maylee Chang Thao (OWNER/PROFESSIONAL COUNSELOR) |
| Authorized Official Contact | 6513003328 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Path Of Life Counseling Psc 2042 Wooddale Dr Ste 250 Woodbury MN 55125-4421 Ph: (651) 300-3328 | Path Of Life Counseling Psc 2042 Wooddale Dr Ste 250 Woodbury MN 55125-4421 Ph: (651) 212-7111 |
| NPI Number | 1093390478 |
|---|---|
| Provider Enumeration Date | 03/16/2021 |
| Last Update Date | 04/18/2025 |
| Certification Date | 04/18/2025 |
| Medicare PECOS PAC ID | 9234657438 |
|---|---|
| Medicare Enrollment ID | O20250520003851 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093390478 | NPI | - | NPPES |
| 981932200 | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Maylee Chang Thao |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1326458340 PECOS PAC ID: 1052839255 Enrollment ID: I20250609002343 |
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