Organization
IMAGINE NEW BEGINNINGS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARY IMANI BROOKS LCSW (LCSW)
(662) 341-2694
Entity
Organization
Contact information
Practice address
3749 N PEACHTREE RD, ATLANTA, GA 30341-2226
(662) 341-2694
Mailing address
3125 COLONIAL WAY APT J, ATLANTA, GA 30341-5339
(662) 341-2694
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
Other
Enumeration date
06/25/2020
Last updated
10/11/2024
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