Organization
IMAGINE & CREATE THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTI BECK LICSW (OWNER/ THERAPIST)
(802) 536-4067
Entity
Organization
Contact information
Practice address
229 WESTERN AVE, BRATTLEBORO, VT 05301-6589
(802) 536-4067
(802) 327-8327
Mailing address
229 WESTERN AVE, BRATTLEBORO, VT 05301-6589
(802) 536-4067
(802) 327-8327
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
12/03/2019
Last updated
11/02/2022
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