# PATH OF LIFE COUNSELING PSC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1093390478
- **Authorized official:** MAYLEE CHANG THAO LPCC (OWNER/PROFESSIONAL COUNSELOR)
- **Authorized official phone:** (651) 300-3328

## Contact information

- **Practice address:** 2042 WOODDALE DR STE 250, WOODBURY, MN 55125-4421
- **Practice address phone:** (651) 212-7111
- **Mailing address:** 2042 WOODDALE DR STE 250, WOODBURY, MN 55125-4421
- **Mailing address phone:** (651) 300-3328
- **Mailing address fax:** (651) 419-1314

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NULL | Yes |
| 101YM0800X | Mental Health Counselor | — | — | Yes |

## Other

- **Enumeration date:** 03/16/2021
- **Last updated:** 04/18/2025
