Greenbrook TMS Mooresville LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

GREENBROOK TMS MOORESVILLE LLC

Practice address

149 Plantation Ridge Dr Ste 150
Mooresville, NC 28117-9174

Phone

(855) 910-4867

Fax

(855) 920-4867

NPI assigned

Jun 27, 2018

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Nicole Lowry

Title

Regional Manager

Phone

(855) 910-4867

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1530057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1530057600000",
    "number": "1043705478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9208 FALLS OF NEUSE RD STE 120",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276152438",
            "telephone_number": "855-910-4867",
            "fax_number": "855-920-4867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "149 PLANTATION RIDGE DR STE 150",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281179174",
            "telephone_number": "855-910-4867",
            "fax_number": "855-920-4867"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREENBROOK TMS MOORESVILLE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-27",
        "last_updated": "2018-06-27",
        "status": "A",
        "authorized_official_last_name": "LOWRY",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_title_or_position": "REGIONAL MANAGER",
        "authorized_official_telephone_number": "855-910-4867"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinic/Center in Mooresville, NC
• Providers in Mooresville, NC by specialty
• Clinic/Center in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.