Organization
NIMEL TMS & SPRAVATO CLINIC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SANDRA LAKE LAKE (MEDICAL DIRECTOR)
(301) 263-4890
Entity
Organization
Contact information
Practice address
1004 LITTLESTOWN PIKE STE E, WESTMINSTER, MD 21157-3007
(301) 272-1074
Mailing address
10801 GREEN ASH LN, BELTSVILLE, MD 20705-3851
(301) 263-4890
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
363L00000X
Nurse Practitioner
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
05/18/2026
Last updated
05/18/2026
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