Organization
TIDES AND LIGHT MENTAL WELLNESS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CAROLINE ANDERSON CRNP-PMH (FOUNDER)
(410) 299-9685
Entity
Organization
Contact information
Practice address
11810 GRAND PARK AVE STE 500, NORTH BETHESDA, MD 20852-8679
(301) 284-0488
(301) 284-3999
Mailing address
316 MAIN ST STE 200, GAITHERSBURG, MD 20878-6551
(301) 284-0488
(301) 284-3999
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
11/17/2025
Last updated
04/20/2026
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