Organization · Type 2 NPI

Imagine, LLC

Mental Health Clinic/Center (Including Community Mental Health Center) · Jackson, MS

NPI number 1902052962 Active

Practice location

1920 Dunbarton Dr
Jackson, MS 39216-5001

Fax (601) 982-5377

Specialties and licenses

TaxonomyCodeLicense
Counselor 101Y00000X1093 (MS)
Mental Health Clinic/Center (Including Community Mental Health Center) Primary 261QM0801XNone listed

Mental Health Clinic/Center (Including Community Mental Health Center): Definition to come...

10 other providers at this address

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About NPI 1902052962

Imagine, LLC's National Provider Identifier is 1902052962, issued on Aug 11, 2008. The primary taxonomy on file is Mental Health Clinic/Center (Including Community Mental Health Center) (261QM0801X), and the practice location is in Jackson, MS. The record was last updated on Sep 3, 2026.