Provider Demographics
NPI:1831675339
Name:TRUE NORTH TMS LLC
Entity Type:Organization
Organization Name:TRUE NORTH TMS LLC
Other - Org Name:TRUE NORTH TMS AT WILLOW MEDICAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:JAMIE
Authorized Official - Middle Name:
Authorized Official - Last Name:PAULSBERG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:907-222-0753
Mailing Address - Street 1:920 E 72ND AVE
Mailing Address - Street 2:
Mailing Address - City:ANCHORAGE
Mailing Address - State:AK
Mailing Address - Zip Code:99518-2810
Mailing Address - Country:US
Mailing Address - Phone:907-222-0753
Mailing Address - Fax:907-222-0754
Practice Address - Street 1:920 E 72ND AVE
Practice Address - Street 2:
Practice Address - City:ANCHORAGE
Practice Address - State:AK
Practice Address - Zip Code:99518
Practice Address - Country:US
Practice Address - Phone:907-222-0753
Practice Address - Fax:907-222-0754
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-07-17
Last Update Date:2023-12-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AK10765232084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Multi-Specialty