Organization Active NPI

Imagination Beautiful, LLC

  • Professional Counselor
  • Sandy Springs, GA
National Provider Identifier
1710711742
Registry record updated Aug 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
IMAGINATION BEAUTIFUL, LLC
Practice address
5887 Glenridge Dr Ste 230
Sandy Springs, GA 30328-9929
Phone
(678) 744-4280
NPI assigned
Aug 30, 2024
Last updated
Aug 30, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Brittney Corall King, LPCNPI 1699261651
Title
Owner
Phone
(423) 453-8625

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X Primary

Addresses

Primary practice location

5887 Glenridge Dr Ste 230
Sandy Springs, GA 30328-9929

Mailing address

6584 Poplar Ave FL 2
Memphis, TN 38138-3687
Phone (678) 744-4280

Other practice location 1

6584 Poplar Ave Fl 2
Memphis, TN 38138-3687
Phone (678) 744-4280

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1724976000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724976000000",
    "number": "1710711742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6584 POPLAR AVE FL 2",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381383687",
            "telephone_number": "678-744-4280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5887 GLENRIDGE DR STE 230",
            "city": "SANDY SPRINGS",
            "state": "GA",
            "postal_code": "303289929",
            "telephone_number": "678-744-4280"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6584 Poplar Ave Fl 2",
            "address_purpose": "LOCATION",
            "city": "Memphis",
            "state": "TN",
            "postal_code": "381383687",
            "country_code": "US",
            "telephone_number": "678-744-4280",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "IMAGINATION BEAUTIFUL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-30",
        "last_updated": "2024-08-30",
        "certification_date": "2024-08-30",
        "status": "A",
        "authorized_official_last_name": "KING",
        "authorized_official_first_name": "BRITTNEY",
        "authorized_official_middle_name": "CORALL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "423-453-8625",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sandy Springs, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.