| New Chapter Tms Llc | |
|
140 S Arthur St Ste 506 Spokane WA 99202-2260 | |
| (509) 934-0245 | |
| (612) 439-7181 |
| Full Name | New Chapter Tms Llc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 140 S Arthur St Ste 506, Spokane, Washington |
| Authorized Official Name and Position | Kiira Maureen Tietjen (OWNER) |
| Authorized Official Contact | 5099536381 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| New Chapter Tms Llc 20006 E Knox Ct Liberty Lake WA 99016-9222 Ph: (509) 953-6381 | New Chapter Tms Llc 140 S Arthur St Ste 506 Spokane WA 99202-2260 Ph: (509) 934-0245 |
| NPI Number | 1124852090 |
|---|---|
| Provider Enumeration Date | 08/31/2024 |
| Last Update Date | 12/12/2024 |
| Certification Date | 12/12/2024 |
| Medicare PECOS PAC ID | 2062948128 |
|---|---|
| Medicare Enrollment ID | O20241212001272 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124852090 | NPI | - | NPPES |
| 1366992091 | Other | TYPE 1 NPI | |
| 2300892 | Medicaid | WA | |
| 1265871578 | Other | TYPE 1 NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Kiira Tietjen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366992091 PECOS PAC ID: 3779863071 Enrollment ID: I20161202000652 |
| Provider Name | Erik Keith Loraas |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1265871578 PECOS PAC ID: 5395031793 Enrollment ID: I20180626002316 |
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