Provider Demographics
NPI:1285053058
Name:TMS CENTER OF LEXINGTON, PLLC
Entity type:Organization
Organization Name:TMS CENTER OF LEXINGTON, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COO
Authorized Official - Prefix:
Authorized Official - First Name:EFRAIN
Authorized Official - Middle Name:A
Authorized Official - Last Name:MIRANDA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:859-455-6715
Mailing Address - Street 1:9378 S MASON MONTGOMERY RD STE 102
Mailing Address - Street 2:
Mailing Address - City:MASON
Mailing Address - State:OH
Mailing Address - Zip Code:45040-8827
Mailing Address - Country:US
Mailing Address - Phone:859-455-6715
Mailing Address - Fax:
Practice Address - Street 1:1000 MONARCH ST STE 280
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40513-1494
Practice Address - Country:US
Practice Address - Phone:859-455-6715
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CLINICAL ANATOMY ASSOCIATES, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2014-04-09
Last Update Date:2016-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty