Provider Demographics
NPI:1891135075
Name:TMS THERAPY CLINIC, LLC
Entity Type:Organization
Organization Name:TMS THERAPY CLINIC, LLC
Other - Org Name:TMS THERAPY CLINIC OF ORLANDO
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGING DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHIVLEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:407-461-4271
Mailing Address - Street 1:1637 E ROBINSON ST
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32803-5932
Mailing Address - Country:US
Mailing Address - Phone:407-701-4500
Mailing Address - Fax:
Practice Address - Street 1:1637 E ROBINSON ST
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32803-5932
Practice Address - Country:US
Practice Address - Phone:407-701-4500
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-07-02
Last Update Date:2013-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLEXEMPT261QM0850X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health