Provider Demographics
NPI:1710415617
Name:NEUROSTIM TMS, PS
Entity Type:Organization
Organization Name:NEUROSTIM TMS, PS
Other - Org Name:NEUROSTIM TMS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:TASHA
Authorized Official - Middle Name:
Authorized Official - Last Name:MORRIS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:425-256-2967
Mailing Address - Street 1:9116 GRAVELLY LAKE DR SW STE 102
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD
Mailing Address - State:WA
Mailing Address - Zip Code:98499-3148
Mailing Address - Country:US
Mailing Address - Phone:253-200-5764
Mailing Address - Fax:253-590-4298
Practice Address - Street 1:9116 GRAVELLY LAKE DR SW STE 102
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:WA
Practice Address - Zip Code:98499-3148
Practice Address - Country:US
Practice Address - Phone:253-200-5763
Practice Address - Fax:253-590-4298
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-05-23
Last Update Date:2023-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty
No261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)Group - Single Specialty