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NIMEL TMS & SPRAVATO CLINIC INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MOSUNMOLA LAKE (DIRECTOR)
(301) 272-1558
Entity
Organization

Contact information

Practice address
216 CRAIN HWY N STE 102, GLEN BURNIE, MD 21061-3086
(301) 272-1558
Mailing address
10801 GREEN ASH LN, BELTSVILLE, MD 20705-3851
(301) 272-1558
(301) 272-1558

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary

Other

Enumeration date
01/09/2026
Last updated
01/09/2026
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