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Organization
IMAGINE LIFE, LLC
Active
Organization
IMAGINE LIFE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMANDA PRATT LCSW (OWNER/ THERAPIST)
(727) 939-5037
Entity
Organization
Contact information
Practice address
360 CENTRAL AVE STE 800, SAINT PETERSBURG, FL 33701-3984
(727) 939-5037
Mailing address
360 CENTRAL AVE STE 800, SAINT PETERSBURG, FL 33701-3984
(727) 939-5037
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
10/18/2018
Last updated
01/27/2022
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