Provider Demographics
NPI:1023818853
Name:NEURO PATH COUNSELING LLC
Entity type:Organization
Organization Name:NEURO PATH COUNSELING LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER/CLINICAL THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:KRISTEN
Authorized Official - Middle Name:
Authorized Official - Last Name:BARRON
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:414-331-5442
Mailing Address - Street 1:3333 S SUNNY SLOPE RD STE 103A
Mailing Address - Street 2:
Mailing Address - City:NEW BERLIN
Mailing Address - State:WI
Mailing Address - Zip Code:53151-4504
Mailing Address - Country:US
Mailing Address - Phone:262-682-1772
Mailing Address - Fax:
Practice Address - Street 1:3333 S SUNNY SLOPE RD
Practice Address - Street 2:
Practice Address - City:NEW BERLIN
Practice Address - State:WI
Practice Address - Zip Code:53151-4502
Practice Address - Country:US
Practice Address - Phone:262-682-1842
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-03-19
Last Update Date:2025-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty