Healthcare Provider Details
I. General information
NPI: 1467317818
Provider Name (Legal Business Name): IMAGINE BETTER THERAPY LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 12/18/2025
Last Update Date: 12/18/2025
Certification Date: 12/18/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1000 N 9TH ST STE 41
GRAND JUNCTION CO
81501-3153
US
IV. Provider business mailing address
PO BOX 40689
GRAND JUNCTION CO
81504-0689
US
V. Phone/Fax
- Phone: 970-462-7720
- Fax:
- Phone: 970-462-7720
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 101YP2500X |
| Taxonomy | Professional Counselor |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
SHANNON
GASS
Title or Position: DIRECTOR
Credential: LPC
Phone: 970-462-7720