institution
Imagine, Llc
Mental Health Clinic/Center (Including Community Mental Health Center) in Jackson, Mississippi
NPI 1902052962

Imagine, Llc is a Mental Health Clinic/Center (Including Community Mental Health Center) based in Jackson, MS and is specialized in Mental Health (Including Community Mental Health Center). Imagine, Llc practices in Jackson, MS. The NPI Number for Imagine, Llc is 1902052962 and holds a License No. 1093 (Mississippi).

The current practice location address for Imagine, Llc is 1920 Dunbarton Dr, Jackson, MS and can be reached out via phone at 601-982-5376 and via fax at 601-982-5377.

Location: 1920 Dunbarton Dr, Jackson, MS, 39216-5001
institution
Provider Profile Details
NPI Number
1902052962
Provider Name
Imagine, Llc
Credential
Provider Entity Type
Organization
Address
1920 Dunbarton Dr, Jackson, MS, 39216-5001
Phone Number
601-982-5376
Fax Number
601-982-5377
Provider Enumeration Date
08/11/2008
Last Update Date
11/16/2024
institution
Provider Business Practice Location Address Details
Address
1920 Dunbarton Dr
City
State
Zip
39216-5001
Phone Number
601-982-5376
Fax Number
601-982-5377
person
Provider Business Mailing Address Details
Address
1920 Dunbarton Dr
City
State
Zip
39216-5001
Phone Number
601-982-5376
Fax Number
601-982-5377
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
License No.
()
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Mental Health (Including Community Mental Health Center)
Taxonomy
License No.
1093 (Mississippi)
Definition
Definition to come...
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