Provider Demographics
NPI:1558634055
Name:TMS NEUROHEALTH CENTERS, TYSONS CORNER, LLC
Entity Type:Organization
Organization Name:TMS NEUROHEALTH CENTERS, TYSONS CORNER, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:REGIONAL MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:KELLI
Authorized Official - Middle Name:
Authorized Official - Last Name:CEFALU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:703-356-1568
Mailing Address - Street 1:8405 GREENSBORO DRIVE
Mailing Address - Street 2:SUITE 120
Mailing Address - City:MCLEAN
Mailing Address - State:VA
Mailing Address - Zip Code:22102-5104
Mailing Address - Country:US
Mailing Address - Phone:571-405-2840
Mailing Address - Fax:855-264-4867
Practice Address - Street 1:8405 GREENSBORO DRIVE
Practice Address - Street 2:SUITE 120
Practice Address - City:MCLEAN
Practice Address - State:VA
Practice Address - Zip Code:22102-5104
Practice Address - Country:US
Practice Address - Phone:571-405-2840
Practice Address - Fax:855-264-4867
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-02-14
Last Update Date:2019-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center