Healthcare Provider Details

I. General information

NPI: 1750238077
Provider Name (Legal Business Name): OWN PATH MENTAL HEALTH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/16/2026
Last Update Date: 08/24/2026
Certification Date: 08/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

929 S HIGH ST
WEST CHESTER PA
19382-5466
US

IV. Provider business mailing address

929 S HIGH ST
WEST CHESTER PA
19382-5466
US

V. Phone/Fax

Practice location:
  • Phone: 610-859-4058
  • Fax:
Mailing address:
  • Phone: 610-859-4058
  • Fax: 610-538-3606

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: LEILANI ATTILIO
Title or Position: OWNER
Credential: CRNP
Phone: 610-859-4058