Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Maitri Path to Wellness PLLC

Organization Addiction (Substance Use Disorder) Counselor · NPI 1184204950

Maitri Path to Wellness PLLC is an Addiction (Substance Use Disorder) Counselor in Peru, Illinois. Registered with an NPI since 2021.

In the registry since
2021
Specialties on file
4
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

710 Peoria St
Peru, IL 61354-3351
Phone: (815) 780-0690
Fax: (815) 410-1937
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X
Professional Counselor Taxonomy 101YP2500X
Social Worker Taxonomy 104100000X

Record details

NPI number1184204950
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Brenden Fasken — Chief Operating Officer · (815) 780-0690
NPI enumeratedApril 14, 2021
Last updated in NPPESApril 19, 2024
Certification dateApril 19, 2024
Mailing address710 Peoria St, Peru, IL 61354-3351

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