Organization
PRIME TMS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GARRETT HAGES (EXECUTIVE DIRECTOR)
(785) 371-4921
Entity
Organization
Contact information
Practice address
1811 WAKARUSA DR STE 102, LAWRENCE, KS 66047-2082
(785) 371-4921
(888) 965-4514
Mailing address
1811 WAKARUSA DR STE 102, LAWRENCE, KS 66047-2082
(785) 371-4921
(888) 965-5147
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
332900000X
Non-Pharmacy Dispensing Site
—
—
Other
Enumeration date
07/31/2017
Last updated
08/01/2023
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