Healthcare Provider Details
I. General information
NPI: 1891222675
Provider Name (Legal Business Name): TMS CENTER OF NEBRASKA LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/11/2017
Last Update Date: 09/26/2023
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
4444 SOUTH 86TH ST. SUITE 102
LINCOLN NE
68526-9253
US
IV. Provider business mailing address
4444 SOUTH 86TH ST. SUITE 102
LINCOLN NE
68526-9253
US
V. Phone/Fax
- Phone: 402-476-7557
- Fax: 402-476-9912
- Phone: 402-476-7557
- Fax: 402-476-9912
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 2084P0800X |
| Taxonomy | Psychiatry Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
BECKY
HAUMONT
Title or Position: OFFICE MANAGER
Credential:
Phone: 402-476-7557