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PRIME TMS LLC NPI 1891219911


NPI Information

NPI: 1891219911
Provider Name: PRIME TMS LLC
Classification: Clinic/Center - 261QM0850X
Entity Type: Organization

Specialization: Adult Mental Health

CLIA Number: 17D2193892

Address:
1811 WAKARUSA DR STE 102
LAWRENCE, KS
ZIP 66047
Phone: (913) 522-5780
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PRIME TMS LLC is an adult mental health clinic center in Lawrence, KS. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. PRIME TMS LLC NPI is 1891219911. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1811 WAKARUSA DR STE 102
LAWRENCE, KS
ZIP 66047-082
Phone: (913) 522-5780

The provider's authorized official is Garrett Hages .
The authorized official title is Executive Director and has the following contact phone number (785) 371-4921.

The CLIA number assigned to this NPI record is 17D2193892 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/31/2017 and was last updated on 9/26/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1247200000XTechnician, OtherNo
2363LP0808XNurse PractitionerPsychiatric/Mental HealthNo
3261QM0850XClinic/CenterAdult Mental HealthYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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