| Imagine Freedom, Llc | |
|
190 Nw 4th St Prineville OR 97754-1820 | |
| (541) 447-6959 | |
| (541) 447-6871 |
| Full Name | Imagine Freedom, Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 190 Nw 4th St, Prineville, Oregon |
| Authorized Official Name and Position | Chrystal Kay Johnson (OWNER/MANAGER/CLINICIAN) |
| Authorized Official Contact | 5414476959 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Imagine Freedom, Llc 190 Nw 4th St Prineville OR 97754-1820 Ph: (541) 447-6959 | Imagine Freedom, Llc 190 Nw 4th St Prineville OR 97754-1820 Ph: (541) 447-6959 |
| NPI Number | 1730602194 |
|---|---|
| Provider Enumeration Date | 07/18/2017 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730602194 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
Apis Family Services Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 185 Ne 4th St Ste 5, Prineville, OR 97754 Phone: 971-312-2091 Fax: 971-256-8853 | |
G.f. Enterprises Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 360 Nw Beaver St, Prineville, OR 97754 Phone: 541-447-5521 Fax: 541-447-5521 | |
Best Care Treatment Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1103 Ne Elm St, Prineville, OR 97754 Phone: 541-516-4087 Fax: 541-504-1195 | |
Rimrock Trails Ats Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1333 Nw 9th St, Prineville, OR 97754 Phone: 541-447-2631 Fax: 541-447-2616 | |
Cep America - Neurology Pc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 384 Se Combs Flat Rd, Prineville, OR 97754 Phone: 541-447-6254 | |
Robyn Loxley Wellness Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 190 Nw 4th St, Prineville, OR 97754 Phone: 541-416-3697 Fax: 541-416-3707 | |
Anchored Grace Therapy, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 888 Nw Ewen St, Prineville, OR 97754 Phone: 541-539-0888 |