Provider Demographics
NPI:1518602978
Name:DISCOVER YOUR PATH LLC
Entity Type:Organization
Organization Name:DISCOVER YOUR PATH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:MEGHAN
Authorized Official - Middle Name:ASHLEY
Authorized Official - Last Name:MAHORSKI
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:414-587-5752
Mailing Address - Street 1:567 S OAK PARK CT
Mailing Address - Street 2:
Mailing Address - City:MILWAUKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53214-1927
Mailing Address - Country:US
Mailing Address - Phone:414-587-5752
Mailing Address - Fax:
Practice Address - Street 1:567 S OAK PARK CT
Practice Address - Street 2:
Practice Address - City:MILWAUKEE
Practice Address - State:WI
Practice Address - Zip Code:53214-1927
Practice Address - Country:US
Practice Address - Phone:414-587-5752
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-04-30
Last Update Date:2022-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)