Provider Demographics
NPI:1497268817
Name:IMAGINE YOUR CAPACITY COUNSELING AND CONSULTING, LLC
Entity Type:Organization
Organization Name:IMAGINE YOUR CAPACITY COUNSELING AND CONSULTING, LLC
Other - Org Name:IMAGINE A CHILD'S CAPACITY, LLC
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:MANAGING PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:SHARON
Authorized Official - Middle Name:
Authorized Official - Last Name:HAMMER
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:608-577-4790
Mailing Address - Street 1:128 E. OLIN AVE
Mailing Address - Street 2:SUITE 201
Mailing Address - City:MADISON
Mailing Address - State:WI
Mailing Address - Zip Code:53713
Mailing Address - Country:US
Mailing Address - Phone:608-316-1141
Mailing Address - Fax:
Practice Address - Street 1:128 E OLIN AVE STE 201
Practice Address - Street 2:
Practice Address - City:MADISON
Practice Address - State:WI
Practice Address - Zip Code:53713-1467
Practice Address - Country:US
Practice Address - Phone:608-316-1149
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-11-07
Last Update Date:2023-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health