Organization · Type 2 NPI

Imagine Station WV LLC

Professional Counselor · Huntington, WV

NPI number 1508520966 Active

Practice location

709 3rd Ave
Huntington, WV 25701-1421

Specialties and licenses

Taxonomy	Code	License
Professional Counselor Primary	101YP2500X	None listed

Professional Counselor: Definition to come...

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NPI record

NPI: 1508520966
Entity type: Organization (Type 2)
Issued: Oct 22, 2021
Last updated: Aug 8, 2022
Status: Active
Subpart: Yes of Imagination Station WV LLC

Other names

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Imagination Station WV · doing business as
Imagine Counseling Services · doing business as
Imagine Counseling Services · doing business as

Authorized official

Candace D Layne, LPC
Director
(304) 544-2417

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About NPI 1508520966

Imagine Station WV LLC's National Provider Identifier is 1508520966, issued on Oct 22, 2021. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Huntington, WV. The record was last updated on Aug 8, 2022.