Provider Demographics
NPI:1871366419
Name:WESTLAKE TMS CLINIC
Entity type:Organization
Organization Name:WESTLAKE TMS CLINIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF OPERATIONS OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:
Authorized Official - Last Name:CONKLIN
Authorized Official - Suffix:
Authorized Official - Credentials:MBA
Authorized Official - Phone:737-256-7801
Mailing Address - Street 1:3811 BEE CAVES RD STE 204
Mailing Address - Street 2:
Mailing Address - City:WEST LAKE HILLS
Mailing Address - State:TX
Mailing Address - Zip Code:78746-6459
Mailing Address - Country:US
Mailing Address - Phone:737-256-7801
Mailing Address - Fax:
Practice Address - Street 1:3811 BEE CAVES RD STE 204
Practice Address - Street 2:
Practice Address - City:WEST LAKE HILLS
Practice Address - State:TX
Practice Address - Zip Code:78746-6459
Practice Address - Country:US
Practice Address - Phone:737-263-0044
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-11-06
Last Update Date:2023-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty