Enlightened Path Behavioral Health & Wellness, Llc.,

NPI #1831813765 in Prior Lake, Minnesota

Provider Information

NPI Number: 1831813765
Entity Type: Organization
Organization Name: Enlightened Path Behavioral Health & Wellness, Llc.,
Primary Specialty: Counselor - Mental Health
Enumeration Date: Oct 4, 2022
Last Updated: Oct 4, 2022

Practice Location

Address: 5380 BOUNTY ST SE
City: Prior Lake
State: Minnesota
ZIP Code: 55372-2501
Phone: (763) 327-7061

Authorized Official

Name: STEPHANIE KANDIE, MA, LADC, LPCC
Title: OWNER, THERAPIST
Phone: (763) 327-7061

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Mental Health — Mental Health	101YM0800X	Primary

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