Organization
ENLIGHTENMENT PSYCHIATRY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MACKENZIE SNORTUM (OWNER)
(320) 321-9599
Entity
Organization
Contact information
Practice address
1011 1ST ST E STE 5, PARK RAPIDS, MN 56470-1764
(320) 321-9599
(877) 962-3624
Mailing address
1011 1ST ST E STE 5, PARK RAPIDS, MN 56470-1764
(320) 321-9599
(877) 962-3624
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1013555887
NPI
MN
Enumeration date
12/09/2021
Last updated
03/31/2026
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