| Imaginative Therapies, Llc | |
|
107 Colony Ct Walkersville MD 21793-8246 | |
| (240) 772-1527 | |
| Not Available |
| Full Name | Imaginative Therapies, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 107 Colony Ct, Walkersville, Maryland |
| Authorized Official Name and Position | Jade Marie Vega (PRESIDENT) |
| Authorized Official Contact | 2407721527 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Imaginative Therapies, Llc 107 Colony Ct Walkersville MD 21793-8246 Ph: (240) 772-1527 | Imaginative Therapies, Llc 107 Colony Ct Walkersville MD 21793-8246 Ph: (240) 772-1527 |
| NPI Number | 1588492458 |
|---|---|
| Provider Enumeration Date | 07/23/2024 |
| Last Update Date | 07/23/2024 |
| Certification Date | 07/23/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588492458 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Secondary |
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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