Provider Demographics
NPI:1750175683
Name:IMAGINE PERSPECTIVES
Entity type:Organization
Organization Name:IMAGINE PERSPECTIVES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:KARIE
Authorized Official - Middle Name:
Authorized Official - Last Name:SVOBODA
Authorized Official - Suffix:
Authorized Official - Credentials:LPCC
Authorized Official - Phone:218-203-0307
Mailing Address - Street 1:1001 KINGWOOD ST STE 127
Mailing Address - Street 2:
Mailing Address - City:BRAINERD
Mailing Address - State:MN
Mailing Address - Zip Code:56401-3452
Mailing Address - Country:US
Mailing Address - Phone:218-203-0307
Mailing Address - Fax:
Practice Address - Street 1:1001 KINGWOOD ST STE 127
Practice Address - Street 2:
Practice Address - City:BRAINERD
Practice Address - State:MN
Practice Address - Zip Code:56401-3452
Practice Address - Country:US
Practice Address - Phone:218-203-0307
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:IMAGINE PERSPECTIVES
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2025-04-07
Last Update Date:2025-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)