Provider Demographics
NPI:1598346561
Name:IMAGINE MORE COUNSELING SOLUTIONS LLC
Entity type:Organization
Organization Name:IMAGINE MORE COUNSELING SOLUTIONS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:ERIC
Authorized Official - Middle Name:JON
Authorized Official - Last Name:TANNER
Authorized Official - Suffix:
Authorized Official - Credentials:LCPC
Authorized Official - Phone:779-212-4721
Mailing Address - Street 1:7431 E STATE ST STE 354
Mailing Address - Street 2:
Mailing Address - City:ROCKFORD
Mailing Address - State:IL
Mailing Address - Zip Code:61108-2678
Mailing Address - Country:US
Mailing Address - Phone:779-212-4721
Mailing Address - Fax:
Practice Address - Street 1:5906 ELAINE DR STE 109
Practice Address - Street 2:
Practice Address - City:ROCKFORD
Practice Address - State:IL
Practice Address - Zip Code:61108-2467
Practice Address - Country:US
Practice Address - Phone:779-212-4721
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-04-20
Last Update Date:2025-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty