Provider Demographics
NPI:1093200511
Name:PACE NEUROHEALTH TMS CENTERS, INC
Entity Type:Organization
Organization Name:PACE NEUROHEALTH TMS CENTERS, INC
Other - Org Name:TMS TREATMENT CENTERS OF MARYLAND
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:FACILITY DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:CATHERINE
Authorized Official - Middle Name:
Authorized Official - Last Name:NWAH
Authorized Official - Suffix:
Authorized Official - Credentials:PMHNP, CRNP
Authorized Official - Phone:443-455-1670
Mailing Address - Street 1:309 DELLCREST DR
Mailing Address - Street 2:
Mailing Address - City:FOREST HILL
Mailing Address - State:MD
Mailing Address - Zip Code:21050-2804
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:8422 BELLONA LN STE 303
Practice Address - Street 2:
Practice Address - City:TOWSON
Practice Address - State:MD
Practice Address - Zip Code:21204-2058
Practice Address - Country:US
Practice Address - Phone:443-455-1670
Practice Address - Fax:443-885-0163
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-06-27
Last Update Date:2020-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/CenterGroup - Single Specialty
No2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty
No261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health