Enlightenment Psychiatry LLC
NPI #1629737473 in Park Rapids, Minnesota
Provider Information
- NPI Number
- 1629737473
- Entity Type
- Organization
- Organization Name
- Enlightenment Psychiatry LLC
- Primary Specialty
- Clinic/Center
- Enumeration Date
- Dec 9, 2021
- Last Updated
- Oct 9, 2024
Practice Location
- Address
- 1011 1ST ST E STE 5
- City
- Park Rapids
- State
- Minnesota
- ZIP Code
- 56470-1764
- Phone
- (320) 321-9599
Authorized Official
- Name
- MACKENZIE SNORTUM, PMHNP
- Title
- PMHNP/FOUNDER
- Phone
- (320) 321-9599
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center |
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