OrganizationActive
Moonlit Path Behavioral Health
NPI 1124622709 · Mental Health Clinic/Center (Including Community Mental Health Center) · Milwaukee, WI
Provider details
- NPI number
- 1124622709
- Entity type
- Organization
- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)Ambulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Rebecca Sobanski, Owner(414) 348-8392
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(63/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
234 W Florida St Ste 315
Milwaukee, WI 53204-1659
Phone: (414) 348-8392
Fax: (414) 296-8934
Street-level locationGet directions
Mailing address
2112 E Bennett Ave
Milwaukee, WI 53207-2916
Registry dates
- Enumerated
- 2020-11-24
- Last updated
- 2026-04-23
- Certified
- 2026-04-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.