Greenbrook TMS Lynchburg, LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

GREENBROOK TMS LYNCHBURG, LLC

Practice address

2203 Graves Mill Rd Ste B
Forest, VA 24551-4297

Phone

(855) 998-4867

NPI assigned

Jan 9, 2018

Organization subpart

No

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

Authorized official

Name

Bryce Neumann

Title

Regional Manager

Phone

(855) 998-4867

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1515456000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1519257600000",
    "number": "1992212229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2203 GRAVES MILL RD STE B",
            "city": "FOREST",
            "state": "VA",
            "postal_code": "245514297",
            "telephone_number": "855-998-4867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2203 GRAVES MILL RD STE B",
            "city": "FOREST",
            "state": "VA",
            "postal_code": "245514297",
            "telephone_number": "855-998-4867"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREENBROOK TMS LYNCHBURG, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-09",
        "last_updated": "2018-02-22",
        "status": "A",
        "authorized_official_last_name": "NEUMANN",
        "authorized_official_first_name": "BRYCE",
        "authorized_official_title_or_position": "REGIONAL MANAGER",
        "authorized_official_telephone_number": "855-998-4867"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Grace Family Medicine PLC
• Victoria Lashley Gravatt, LPC
• Destini Gray
• Erica Gray, MA, LPC
• Lyndsay Green
• Dawn Marie Greenough
• Gelsomina Ceres Hahn, LPC
• Billy D Haley, OD
• Carson Leigh Halufska, M.ED., LPC
• Lauren Hannell

• Clinic/Center in Forest, VA
• Providers in Forest, VA by specialty
• Clinic/Center in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 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.