Provider Demographics
NPI:1780161570
Name:LAKEVIEW TMS CENTER PLLC
Entity type:Organization
Organization Name:LAKEVIEW TMS CENTER PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:CINI
Authorized Official - Middle Name:
Authorized Official - Last Name:ABRAHAM
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:469-402-3600
Mailing Address - Street 1:2249 RIDGE RD STE B
Mailing Address - Street 2:
Mailing Address - City:ROCKWALL
Mailing Address - State:TX
Mailing Address - Zip Code:75087-5131
Mailing Address - Country:US
Mailing Address - Phone:469-402-7867
Mailing Address - Fax:469-402-7868
Practice Address - Street 1:2249 RIDGE RD STE B
Practice Address - Street 2:
Practice Address - City:ROCKWALL
Practice Address - State:TX
Practice Address - Zip Code:75087-5131
Practice Address - Country:US
Practice Address - Phone:469-402-3600
Practice Address - Fax:469-402-3606
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-07-24
Last Update Date:2019-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)