Organization
OHIO TMS CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALICJA MATUSIAK PMHNP-BC (SOLE MEMBER / DIRECTOR)
(614) 371-2303
Entity
Organization
Contact information
Practice address
3099 SULLIVANT AVE, COLUMBUS, OH 43204-1895
(614) 371-2303
Mailing address
3099 SULLIVANT AVE STE H, COLUMBUS, OH 43204-1895
(614) 371-2303
(800) 905-9950
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
08/07/2019
Last updated
10/22/2019
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