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Organization
ENLIGHTENED PATH BEHAVIORAL HEALTH & WELLNESS, LLC.,
Active
Organization
ENLIGHTENED PATH BEHAVIORAL HEALTH & WELLNESS, LLC.,
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHANIE KANDIE MA, LADC, LPCC (OWNER, THERAPIST)
(763) 327-7061
Entity
Organization
Contact information
Practice address
5380 BOUNTY ST SE, PRIOR LAKE, MN 55372-2501
(763) 327-7061
(612) 488-0596
Mailing address
5380 BOUNTY ST SE, PRIOR LAKE, MN 55372-2501
(612) 860-7221
(612) 488-0596
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
NULL
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
10/04/2022
Last updated
10/04/2022
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