Organization
ENLIGHTEN TMS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GRETCHEN WOODWORTH CARLSON MD (OWNER)
(425) 454-2835
Entity
Organization
Contact information
Practice address
1300 114TH AVE SE STE 102, BELLEVUE, WA 98004-6928
(425) 454-2835
(425) 454-2315
Mailing address
1300 114TH AVE SE STE 102, BELLEVUE, WA 98004-6928
(425) 454-2835
(425) 454-2315
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
01/10/2020
Last updated
01/10/2020
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