Provider Demographics
NPI:1164301628
Name:IMAGINATION WORKS - FOSTERING CONNECTIONS
Entity type:Organization
Organization Name:IMAGINATION WORKS - FOSTERING CONNECTIONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JUANITA
Authorized Official - Middle Name:R
Authorized Official - Last Name:WORKS
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:724-980-1681
Mailing Address - Street 1:1100 WASHINGTON AVE
Mailing Address - Street 2:
Mailing Address - City:OAKMONT
Mailing Address - State:PA
Mailing Address - Zip Code:15139-1122
Mailing Address - Country:US
Mailing Address - Phone:724-980-1681
Mailing Address - Fax:
Practice Address - Street 1:7315 RACE ST
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15208-1518
Practice Address - Country:US
Practice Address - Phone:412-727-1642
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-08-28
Last Update Date:2025-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty