Organization
IMAGINE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BAXTER HUGH HOGUE LPC (PRESIDENT)
(601) 259-4081
Entity
Organization
Contact information
Practice address
1920 DUNBARTON DR, JACKSON, MS 39216-5001
(601) 982-5376
(601) 982-5377
Mailing address
1920 DUNBARTON DR, JACKSON, MS 39216-5001
(601) 982-5376
(601) 982-5377
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
1093
MS
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
08/11/2008
Last updated
11/05/2024
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