Moonlit Path Behavioral Health

LBN: Moonlit Path Behavioral Health
Moonlit Path Behavioral Health is an health care organization with primary practice located at 13500 Watertown Plank Rd Ste 102 , Elm Grove WI 53122-2222. The organization recently has only one registered license in Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), which is considered as the primary health care specialty. Moonlit Path Behavioral Health can be contacted via phone (414) 867-4318, or through Sobanski, Rebecca via phone (414) 587-1397.

Contact Information

Primary practice address
13500 Watertown Plank Rd Ste 102 Elm Grove WI 53122-2222
Phone: (414) 867-4318
Fax: (414) 404-3623
Website:
Map and Directions
Authorized official contact:
Name: Sobanski, Rebecca APNP
Phone: (414) 587-1397

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X

Profile Details

NPI number 1124622709
LBN Legal business name Moonlit Path Behavioral Health
DBA Doing business as
Authorized official Sobanski, Rebecca APNP
Entity Organization
Organization subpart 1 No
Enumeration date Nov 24th, 2020
Last updated Jan 3rd, 2022 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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