Agave Studio For Psychotherapy And Spiritual Direction

LBN: Agave Studio For Psychotherapy And Spiritual Direction
Agave Studio For Psychotherapy And Spiritual Direction is an health care organization with primary practice located at 2950 W Chicago Ave #302, Chicago IL 60622-4375. The organization recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Pastoral, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is the primary health care specialty. Agave Studio For Psychotherapy And Spiritual Direction can be contacted via phone (773) 627-2112, or through Ruiz, Janeil Irene via phone (773) 627-2112.

Contact Information

Primary practice address
2950 W Chicago Ave #302 Chicago IL 60622-4375
Phone: (773) 627-2112
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Ruiz, Janeil Irene PSY.D.
Phone: (773) 627-2112

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X
Behavioral Health & Social Service Providers / Pastoral 101YP1600X
Behavioral Health & Social Service Providers / Clinical 103TC0700X 071.008116 Illinois

Profile Details

NPI number 1093079212
LBN Legal business name Agave Studio For Psychotherapy And Spiritual Direction
DBA Doing business as
Authorized official Ruiz, Janeil Irene PSY.D.
Entity Organization
Organization subpart 1 No
Enumeration date Jul 2nd, 2012
Last updated Jul 2nd, 2012 - about 12 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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