| Tides And Light Mental Wellness, Llc | |
|
11810 Grand Park Ave Ste 500 North Bethesda MD 20852-8679 | |
| (410) 299-9685 | |
| Not Available |
| Full Name | Tides And Light Mental Wellness, Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 11810 Grand Park Ave Ste 500, North Bethesda, Maryland |
| Authorized Official Name and Position | Caroline Anderson (FOUNDER) |
| Authorized Official Contact | 4102999685 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tides And Light Mental Wellness, Llc 11810 Grand Park Ave Ste 500 North Bethesda MD 20852-8679 Ph: (410) 299-9685 | Tides And Light Mental Wellness, Llc 11810 Grand Park Ave Ste 500 North Bethesda MD 20852-8679 Ph: (410) 299-9685 |
| NPI Number | 1346100872 |
|---|---|
| Provider Enumeration Date | 11/17/2025 |
| Last Update Date | 12/04/2025 |
| Certification Date | 12/04/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346100872 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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