Imagine, LLC
NPI #1902052962 in Jackson, Mississippi
Provider Information
- NPI Number
- 1902052962
- Entity Type
- Organization
- Organization Name
- Imagine, LLC
- Primary Specialty
- Clinic/Center - Mental Health (Including Community Mental Health Center)
- Enumeration Date
- Aug 11, 2008
- Last Updated
- Nov 5, 2024
Practice Location
- Address
- 1920 DUNBARTON DR
- City
- Jackson
- State
- Mississippi
- ZIP Code
- 39216-5001
- Phone
- (601) 982-5376
Authorized Official
- Name
- BAXTER HUGH HOGUE, LPC
- Title
- PRESIDENT
- Phone
- (601) 259-4081
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor |
| Clinic/Center - Mental Health (Including Community Mental Health Center) — Mental Health (Including Community Mental Health Center) |
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