| Imagine Emotional Wellness | |
|
3763 83rd St # 186 Jackson Heights NY 11372-7146 | |
| (929) 224-0096 | |
| Not Available |
| Full Name | Imagine Emotional Wellness |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 3763 83rd St # 186, Jackson Heights, New York |
| Authorized Official Name and Position | Priscilla Chin (OWNER) |
| Authorized Official Contact | 9292240096 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Imagine Emotional Wellness 3763 83rd St # 186 Jackson Heights NY 11372-7146 Ph: (929) 224-0096 | Imagine Emotional Wellness 3763 83rd St # 186 Jackson Heights NY 11372-7146 Ph: (929) 224-0096 |
| NPI Number | 1043909427 |
|---|---|
| Provider Enumeration Date | 05/02/2023 |
| Last Update Date | 06/29/2023 |
| Certification Date | 06/29/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043909427 | NPI | - | NPPES |
| 44SC05998700 | Other | NJ | NEW JERSEY'S STATE BOARD OF SOCIAL WORK EXAMINERS |
| 090366 | Other | NY | NEW YORK OFFICE OF THE PROFESSIONS |
| LC200001194 | Other | DC | DC BOARD OF SOCIAL WORK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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