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Organization
IMAGINE EMOTIONAL WELLNESS
Active
Organization
IMAGINE EMOTIONAL WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PRISCILLA CHIN (OWNER)
(929) 224-0096
Entity
Organization
Contact information
Practice address
3763 83RD ST # 186, JACKSON HEIGHTS, NY 11372-7146
(929) 224-0096
Mailing address
3763 83RD ST # 186, JACKSON HEIGHTS, NY 11372-7146
(929) 224-0096
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
090366
NEW YORK OFFICE OF THE PROFESSIONS
NY
01
—
44SC05998700
NEW JERSEY'S STATE BOARD OF SOCIAL WORK EXAMINERS
NJ
01
—
LC200001194
DC BOARD OF SOCIAL WORK
DC
Enumeration date
05/02/2023
Last updated
06/29/2023
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