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MAITRI PATH TO WELLNESS PLLC
NPI 1184359168
Clinic/Center - Rehabilitation, Substance Use Disorder in Peru, IL

Active since July 22, 2022
710 PEORIA ST, PERU, IL 61354(815) 780-0690(815) 410-1937 Get Directions Write a Review

NPPES record last updated: April 17, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 17, 2024, May 11, 2023, Jul 22, 2022 (3 updates tracked since 2022).

About Maitri Path To Wellness Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MAITRI PATH TO WELLNESS PLLC (NPI 1184359168) is a healthcare organization registered as a rehabilitation, substance use disorder in Peru, Illinois and active in the NPI registry since July 2022. The organization lists Brenden Fasken, Chief Operating Officer, as its authorized official.

NPPES Registry Identity

NPI1184359168
Entity TypeOrganization
Primary Taxonomy261QR0405X
Legal Business NameMAITRI PATH TO WELLNESS PLLC
Location Address710 PEORIA STPeru, IL 61354-3351
Mailing Address710 Peoria StPeru, IL 61354-3351 · (815) 780-0690 · Fax (815) 410-1937
Phone(815) 780-0690
Fax(815) 410-1937
Organization SubpartNo
Authorized OfficialBrenden FaskenChief Operating Officer · (815) 780-0690
Enumeration DateJuly 22, 2022
Last NPPES UpdateApril 17, 20243 updates tracked since enumeration
NPPES CertifiedApril 17, 2024
✔ NPI 1184359168 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Rehabilitation, Substance Use DisorderAmbulatory Health Care Facilities
Taxonomy Code261QR0405X
710 PEORIA ST, Peru, IL 61354
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Other Providers at the Same Location NPPES 14

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

VANESSA ABELLAN CADC
Counselor (Addiction (Substance Use Disorder))
710 PEORIA ST
PERU, IL 61354
Lasalle County (815) 780-0690
BRENDEN FASKEN
Counselor (Addiction (Substance Use Disorder))
710 PEORIA ST
PERU, IL 61354
Lasalle County (815) 780-0690
MAITRI PATH TO WELLNESS PLLC
Clinic/Center (Mental Health (Including Community Mental Health Center))
710 PEORIA ST
PERU, IL 61354
Lasalle County (815) 780-0690
KAYLA MARIE FALLEN
Counselor (Mental Health)
710 PEORIA ST
PERU, IL 61354
Lasalle County (815) 780-0690
VICTORIA MERRITT WINTERROSE
Social Worker (Clinical)
710 PEORIA ST
PERU, IL 61354
Lasalle County (815) 780-0690
MAITRI PATH TO WELLNESS PLLC
Social Worker (Clinical)
710 PEORIA ST
PERU, IL 61354
Lasalle County (815) 780-0690
WELLNESS AND RECOVERY WITH MAITRI, INC. NFP
Clinic/Center (Mental Health (Including Community Mental Health Center))
710 PEORIA ST
PERU, IL 61354
Lasalle County (815) 780-0690
MS. PATRICIA ALINA PELAEZ CADC
Counselor (Addiction (Substance Use Disorder))
710 PEORIA ST
PERU, IL 61354
Lasalle County (815) 780-0690

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Maitri Path To Wellness PLLC's NPI number?

The NPI number for Maitri Path To Wellness PLLC is 1184359168. It was assigned to this organization in the NPPES registry on July 22, 2022.

Where is Maitri Path To Wellness PLLC located?

Maitri Path To Wellness PLLC is located at 710 Peoria St, Peru, IL 61354. The listed phone number is (815) 780-0690.

What is Maitri Path To Wellness PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rehabilitation, Substance Use Disorder, with taxonomy code 261QR0405X.

When was this NPI record last updated?

The NPPES record for Maitri Path To Wellness PLLC was last updated on April 17, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.