Organization
IMAGINATIVE THERAPIES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JADE MARIE VEGA (PRESIDENT / CEO)
(301) 508-0414
Entity
Organization
Contact information
Practice address
837 SAWBACK SQ NE, LEESBURG, VA 20176-4130
(240) 772-1527
Mailing address
837 SAWBACK SQ NE, LEESBURG, VA 20176-4130
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
02/13/2026
Last updated
02/13/2026
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