Healthcare Provider Details

I. General information

NPI: 1447800404
Provider Name (Legal Business Name): TMS COLLABORATIVE PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/12/2019
Last Update Date: 12/22/2025
Certification Date: 12/22/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9 HAMPTON RD UNIT 2
EXETER NH
03833-4807
US

IV. Provider business mailing address

9 HAMPTON RD UNIT 2
EXETER NH
03833-4807
US

V. Phone/Fax

Practice location:
  • Phone: 603-988-2561
  • Fax: 603-395-4122
Mailing address:
  • Phone: 603-988-2561
  • Fax: 603-395-4122

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number
License Number State

VIII. Authorized Official

Name: PAUL FREDERICK BELLIVEAU
Title or Position: OWNER
Credential:
Phone: 603-778-0505