# TIDES AND LIGHT MENTAL WELLNESS, LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1346100872
- **Authorized official:** MS. CAROLINE ANDERSON CRNP-PMH (FOUNDER)
- **Authorized official phone:** (410) 299-9685

## Contact information

- **Practice address:** 11810 GRAND PARK AVE STE 500, NORTH BETHESDA, MD 20852-8679
- **Practice address phone:** (301) 284-0488
- **Practice address fax:** (301) 284-3999
- **Mailing address:** 316 MAIN ST STE 200, GAITHERSBURG, MD 20878-6551
- **Mailing address phone:** (301) 284-0488
- **Mailing address fax:** (301) 284-3999

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM0801X | Mental Health Clinic/Center (Including Community Mental Health Center) | — | NULL | Yes |

## Other

- **Enumeration date:** 11/17/2025
- **Last updated:** 04/20/2026