Provider Demographics
NPI:1992041164
Name:TMS WELLNESS INSTITUTE, INC.
Entity Type:Organization
Organization Name:TMS WELLNESS INSTITUTE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:GLENN
Authorized Official - Middle Name:O
Authorized Official - Last Name:ARCHIBALD
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:205-478-8256
Mailing Address - Street 1:3181 BRADFORD PL
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35242-4603
Mailing Address - Country:US
Mailing Address - Phone:256-434-1867
Mailing Address - Fax:256-727-5604
Practice Address - Street 1:1302 NOBLE ST
Practice Address - Street 2:SUITE 1A
Practice Address - City:ANNISTON
Practice Address - State:AL
Practice Address - Zip Code:36201-4693
Practice Address - Country:US
Practice Address - Phone:256-434-1867
Practice Address - Fax:256-727-5604
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-12-17
Last Update Date:2012-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center