Organization
TRAVELING LIGHT PSYCHIATRIC SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTIN DOUCETTE (OWNER)
(218) 851-4102
Entity
Organization
Contact information
Practice address
13040 KINGWOOD DR, BAXTER, MN 56425-8382
(218) 454-0499
Mailing address
13040 KINGWOOD DR, BAXTER, MN 56425-8382
(218) 454-0499
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
09/09/2025
Last updated
09/09/2025
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