| Integrated Tms LLC | |
|
1664 S Dixie Dr Ste 102 Bld E Saint George UT 84770-7327 | |
| (435) 767-8840 | |
| (435) 703-6003 |
| Full Name | Integrated Tms LLC |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 1664 S Dixie Dr Ste 102, Saint George, Utah |
| Authorized Official Name and Position | Forrest Jim Wolverton (OWNER/DIRECTOR) |
| Authorized Official Contact | 4357678840 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Integrated Tms LLC 1664 S Dixie Dr Ste 102 Bld E Saint George UT 84770-7327 Ph: (435) 767-8840 | Integrated Tms LLC 1664 S Dixie Dr Ste 102 Bld E Saint George UT 84770-7327 Ph: (435) 767-8840 |
| NPI Number | 1336718204 |
|---|---|
| Provider Enumeration Date | 06/23/2021 |
| Last Update Date | 06/28/2021 |
| Certification Date | 06/28/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336718204 | NPI | - | NPPES |
| 1972846384 | Medicaid | UT | |
| 1730125956 | Medicaid | UT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | () | Primary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | () | Secondary |
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