| Imagine & Create Therapy Llc | |
|
229 Western Ave Brattleboro VT 05301-6589 | |
| (802) 536-4067 | |
| (802) 327-8327 |
| Full Name | Imagine & Create Therapy Llc |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 229 Western Ave, Brattleboro, Vermont |
| Authorized Official Name and Position | Kristi Beck (OWNER/ THERAPIST) |
| Authorized Official Contact | 8025364067 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Imagine & Create Therapy Llc 229 Western Ave Brattleboro VT 05301-6589 Ph: (802) 536-4067 | Imagine & Create Therapy Llc 229 Western Ave Brattleboro VT 05301-6589 Ph: (802) 536-4067 |
| NPI Number | 1265079842 |
|---|---|
| Provider Enumeration Date | 12/03/2019 |
| Last Update Date | 11/02/2022 |
| Certification Date | 11/02/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265079842 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Secondary |
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