Organization
IMAGINE THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. PATRICIA ANN PLUM LCSW (OWNER/PSYCHOTHERAPIST)
(623) 337-2275
Entity
Organization
Contact information
Practice address
250 N LITCHFIELD RD STE 260, GOODYEAR, AZ 85338-1369
(623) 337-2275
Mailing address
PO BOX 7405, GOODYEAR, AZ 85338-0641
(623) 337-2275
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
362794
—
AZ
05
—
471355
—
AZ
Enumeration date
12/17/2018
Last updated
12/11/2025
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