Provider Demographics
NPI:1376913038
Name:CLARITY TMS LAS VEGAS NEVADA LLC
Entity Type:Organization
Organization Name:CLARITY TMS LAS VEGAS NEVADA LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER, CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:MEREDITH
Authorized Official - Middle Name:M
Authorized Official - Last Name:STILL
Authorized Official - Suffix:
Authorized Official - Credentials:JD
Authorized Official - Phone:702-444-4014
Mailing Address - Street 1:2340 PASEO DEL PRADO
Mailing Address - Street 2:D307
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89102-4360
Mailing Address - Country:US
Mailing Address - Phone:702-444-4014
Mailing Address - Fax:702-825-2573
Practice Address - Street 1:2340 PASEO DEL PRADO
Practice Address - Street 2:D307
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89102-4360
Practice Address - Country:US
Practice Address - Phone:702-444-4014
Practice Address - Fax:702-825-2573
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-10-06
Last Update Date:2015-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV53422084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty