Organization
BRAIN HEALTH CENTER PSC
Active
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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