MEDICARE: TMS NEUROHEALTH CENTERS WOODBRIDGE LLC

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	261Q00000X	Clinic/Center

General Provider Information

NPI Number	:	1942662259
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TMS NEUROHEALTH CENTERS WOODBRIDGE LLC

Provider Business Mailing Address
First Line	:	13649 OFFICE PL
Second Line	:	SUITE 102
City	:	WOODBRIDGE
State	:	VA
Zip	:	22192-4215
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	13649 OFFICE PL
Second Line	:	SUITE 102
City	:	WOODBRIDGE
State	:	VA
Zip	:	22192-4215
Country	:	US
Telephone Number	:	571-402-1948
Fax Number	:

Authorized Official
Title or Position	:	REGIONAL MANAGER
Name	:	KELLI CEFALU
Credential	:
Telephone Number	:	703-356-1568

Provider Enumeration Date	:	03/25/2016
Last Update Date	:	07/11/2016

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