Provider Demographics
NPI:1417218223
Name:CARING PATH COUNSELING LLC
Entity type:Organization
Organization Name:CARING PATH COUNSELING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICSW/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JUSTIN
Authorized Official - Middle Name:DAVID
Authorized Official - Last Name:LESS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:651-200-8788
Mailing Address - Street 1:6580 MONONA DR # 1011
Mailing Address - Street 2:
Mailing Address - City:MONONA
Mailing Address - State:WI
Mailing Address - Zip Code:53716-4032
Mailing Address - Country:US
Mailing Address - Phone:651-200-8788
Mailing Address - Fax:
Practice Address - Street 1:6580 MONONA DR # 1011
Practice Address - Street 2:
Practice Address - City:MONONA
Practice Address - State:WI
Practice Address - Zip Code:53716-4032
Practice Address - Country:US
Practice Address - Phone:651-200-8788
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-06-07
Last Update Date:2025-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YM0800X
MN17750251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN800002310Medicare PIN