MEDICARE: CLEAR TMS PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LP0808X	Psychiatric/Mental Health Nurse Practitioner

General Provider Information

NPI Number	:	1407548910
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CLEAR TMS PLLC

Provider Business Mailing Address
First Line	:	344 CLEVELAND AVE SE STE H
Second Line	:
City	:	TUMWATER
State	:	WA
Zip	:	98501-3342
Country	:	US
Telephone Number	:	360-489-1438
Fax Number	:	800-548-5205

Provider Business Practice Location Address
First Line	:	344 CLEVELAND AVE SE STE H
Second Line	:
City	:	TUMWATER
State	:	WA
Zip	:	98501-3342
Country	:	US
Telephone Number	:	360-561-9906
Fax Number	:	833-941-1260

Authorized Official
Title or Position	:	PARTNER
Name	:	DIANA WILCOX
Credential	:	PMHNP
Telephone Number	:	360-489-1438

Provider Enumeration Date	:	05/23/2023
Last Update Date	:	01/25/2026

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