Organization
BRAIN HEALTH CENTER PSC
Active
Other names
TMS Treatment Center PSC
Organization subpart
No
Provider details
NPI number
Authorized official
PETER JUDSON GAGER PHD (DIRECTOR)
(859) 533-9190
Entity
Organization
Contact information
Practice address
535 W SECOND ST STE 205, LEXINGTON, KY 40508-2183
(859) 533-9190
(859) 201-1196
Mailing address
535 W SECOND ST STE 205, LEXINGTON, KY 40508-2183
(859) 533-9190
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
103TC0700X
Clinical Psychologist
—
—
2084P0800X
Psychiatry Physician
Primary
—
—
208D00000X
General Practice Physician
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
Other
Enumeration date
08/05/2019
Last updated
10/30/2020
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