TMS at the Lake, LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

TMS AT THE LAKE, LLC

Practice address

168 NW Blackbear Way
Greenville, FL 32331

Phone

(850) 387-2671

NPI assigned

May 3, 2024

Organization subpart

No

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

Authorized official

Name

Devan Schanding

Title

Manager

Phone

(850) 387-2671

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1714694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714694400000",
    "number": "1154178481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "168 NW BLACKBEAR WAY",
            "city": "GREENVILLE",
            "state": "FL",
            "postal_code": "32331",
            "telephone_number": "850-387-2671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "168 NW BLACKBEAR WAY",
            "city": "GREENVILLE",
            "state": "FL",
            "postal_code": "32331",
            "telephone_number": "850-387-2671"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TMS AT THE LAKE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-03",
        "last_updated": "2024-05-03",
        "certification_date": "2024-04-17",
        "status": "A",
        "authorized_official_last_name": "SCHANDING",
        "authorized_official_first_name": "DEVAN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "850-387-2671"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Greenville, FL
• Mental Health Clinic/Center (Including Community Mental Health Center) in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2024; 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.