Provider Demographics
NPI:1790309862
Name:SUCCESS TMS PROFESSIONAL SERVICES NEW JERSEY LLC
Entity type:Organization
Organization Name:SUCCESS TMS PROFESSIONAL SERVICES NEW JERSEY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:
Authorized Official - Last Name:LEONARD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:212-524-7709
Mailing Address - Street 1:PO BOX 950498
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63195-0498
Mailing Address - Country:US
Mailing Address - Phone:561-264-4406
Mailing Address - Fax:
Practice Address - Street 1:1950 ROUTE 70 E STE 201
Practice Address - Street 2:
Practice Address - City:CHERRY HILL
Practice Address - State:NJ
Practice Address - Zip Code:08003-2128
Practice Address - Country:US
Practice Address - Phone:856-229-0138
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-06-03
Last Update Date:2024-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty