Provider Demographics
NPI:1023862737
Name:WELLNESS TMS LLC
Entity type:Organization
Organization Name:WELLNESS TMS LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:FREDERICK
Authorized Official - Middle Name:
Authorized Official - Last Name:QUINDT
Authorized Official - Suffix:V
Authorized Official - Credentials:
Authorized Official - Phone:562-784-4111
Mailing Address - Street 1:500 W WILLOW ST STE 101
Mailing Address - Street 2:
Mailing Address - City:LONG BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90806-2831
Mailing Address - Country:US
Mailing Address - Phone:562-784-4111
Mailing Address - Fax:562-488-9200
Practice Address - Street 1:500 W WILLOW ST STE 101
Practice Address - Street 2:
Practice Address - City:LONG BEACH
Practice Address - State:CA
Practice Address - Zip Code:90806-2831
Practice Address - Country:US
Practice Address - Phone:562-784-4111
Practice Address - Fax:562-488-9200
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-17
Last Update Date:2024-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty