Healthcare Provider Details

I. General information

NPI: 1518856434
Provider Name (Legal Business Name): IMAGINE FUTURES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/03/2025
Last Update Date: 07/03/2025
Certification Date: 07/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2145 CENTRAL PKWY STE 300
CINCINNATI OH
45214-2376
US

IV. Provider business mailing address

2145 CENTRAL PKWY STE 300
CINCINNATI OH
45214-2376
US

V. Phone/Fax

Practice location:
  • Phone: 513-546-7888
  • Fax:
Mailing address:
  • Phone: 513-546-7888
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: DR. JUB SANKOFA
Title or Position: CEO
Credential: PH.D
Phone: 513-546-7888