Organization
NEW CHAPTER TMS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIIRA MAUREEN TIETJEN DNP ARNP PMHNP (OWNER)
(509) 953-6381
Entity
Organization
Contact information
Practice address
140 S ARTHUR ST STE 506, SPOKANE, WA 99202-2260
(509) 934-0245
(612) 439-7181
Mailing address
20006 E KNOX CT, LIBERTY LAKE, WA 99016-9222
(509) 953-6381
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1265871578
TYPE 1 NPI
—
01
—
1366992091
TYPE 1 NPI
—
05
—
2300892
—
WA
Enumeration date
08/31/2024
Last updated
12/12/2024
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