Organization · Type 2 NPI

Moonlit Path Behavioral Health

Mental Health Clinic/Center (Including Community Mental Health Center) · Milwaukee, WI

NPI number 1124622709 Active

Practice location

234 W Florida St Ste 315
Milwaukee, WI 53204-1659

Fax (414) 296-8934

Mailing address

2112 E Bennett Ave
Milwaukee, WI 53207-2916

Specialties and licenses

TaxonomyCodeLicense
Mental Health Clinic/Center (Including Community Mental Health Center) Primary 261QM0801XNone listed

Mental Health Clinic/Center (Including Community Mental Health Center): Definition to come...

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About NPI 1124622709

Moonlit Path Behavioral Health's National Provider Identifier is 1124622709, issued on Nov 24, 2020. The primary taxonomy on file is Mental Health Clinic/Center (Including Community Mental Health Center) (261QM0801X), and the practice location is in Milwaukee, WI. The record was last updated on Apr 23, 2026.